Abstract:
:Invasive techniques continue to be used in monitoring and treating the critically ill patient in spite of preference for, and increasing use of, non-invasive or minimally invasive techniques. With or without simultaneous determination of left ventricular filling pressure, the central venous pressure (CVP) catheter is widely used for gaining access to the right heart, determining right ventricular filling pressure, and for rapid infusion of fluids or medications. Even in expert hands the insertion of the CVP line is occasionally followed by complications that may require therapeutic interventions of varying degrees of severity. The possible hazards from this simple and often necessary therapeutic adjunct call for a systematic informed-consent approach which is often neglected despite its relevance in today's clinical practice. The data presented are typical of a standard teaching hospital experience. Securing informed consent for CVP catheter insertion is encouraged.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Odelowo EO,Roux VJsubject
Has Abstractpub_date
1977-05-01 00:00:00pages
311-3issue
5eissn
0027-9684issn
1943-4693journal_volume
69pub_type
杂志文章abstract::We sought to evaluate the economic impact and diagnostic utility of magnetic resonance imaging (MRI) in the management of patients with headache and nonfocal physical examinations. Computerized medical records were retrospectively reviewed of 1,233 patients presenting for MRI of headache at our institution over a 3-ye...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2000-12-01 00:00:00
abstract:PURPOSE:Respondent-driven sampling (RDS) was used to recruit four samples of Black and Latino men who have sex with men (MSM) in three metropolitan areas to measure HIV prevalence and sexual and drug use behaviors. We compared demographic and behavioral risk characteristics of participants across sites, assessed the ex...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2015.12.009
更新日期:2016-02-01 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::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::A review of the literature on sickle cell trait was completed by Sears in 1978. Since that time, several papers have been published concerning the possible health risks of sickle cell trait. Data presented from these studies show that there is no association with sickle cell trait and overall survival, overall mortali...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:1982-08-01 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::The purpose of this cross-sectional study was to assess the 2009 prevalence of chlamydial and gonococcal infection in 2 populations in a midwestern city in the United States: patients at a public sexually transmitted disease (STD) clinic, and individuals seeking human immunodeficiency virus (HIV) counseling and testin...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30312-6
更新日期:2011-04-01 00:00:00
abstract::This preliminary study explored the roles of knowledge, attitudes, and significant others on decisions of older African-American women to enroll in a clinical trial involving estrogen and osteoporosis. Sixteen older African-American women (average age 75 years) participated in three focus groups. Twelve of the women h...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2001-10-01 00:00:00
abstract::Crohn's disease is less prevalent in blacks than in whites. However, when it does occur, it is associated with a high degree of morbidity and is frequently unrecognized at initial presentation. Forty-three patients with Crohn's disease presented to Howard University Hospital between 1965 and 1987. There were 156 hospi...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1990-10-01 00:00:00
abstract:PURPOSE:We conducted a cross-sectional study examining potentially modifiable factors associated with cognitive impairments (mild or severe) in older whites, African Americans and Hispanics attending an outpatient eye clinic. METHODS:In-clinic interviews and physical examinations assessed social, demographic and healt...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2005-06-01 00:00:00
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journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1979-07-01 00:00:00
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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: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
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journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:1987-10-01 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
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journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract::The health and well-being of all individuals, independent of race, ethnicity, or gender, is a significant public health concern. Despite many improvements in the status of minority health, African American males continue to have the highest age-adjusted mortality rate of any race-sex group in the United States. Such d...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30361-8
更新日期:2011-06-01 00:00:00
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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
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journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1979-03-01 00:00:00
abstract::Decreased revenue from clinical services has required academic hospitals and physicians to improve productivity. Medical student education may be a significant hindrance to increased productivity and income. This study quantifies the amount of time spent by faculty members teaching medical students in an ambulatory ne...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2005-09-01 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
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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
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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
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journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1986-02-01 00:00:00
abstract::In Nyanza Province, Kenya, estimated HIV prevalence is 22%. Given that more than 80% of the population resides in rural areas, the majority of individuals in Nyanza Province do not have access to medical facilities on a regular basis. In response to the growing demands the HIV epidemic has placed on the people and com...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2004-04-01 00:00:00
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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
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journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1993-09-01 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
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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::This study examines the relationship between sexual behaviors and prevalence of herpes simplex virus-type 2 (HSV-2) among African-American college women. Subjects (n = 138) were recruited randomly from a state university to participate in a study regarding sexual attitudes and behaviors and to have their blood drawn f...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1999-04-01 00:00:00