Abstract:
:A total of 128 total joint arthroplasties performed on a predominantly African-American population by a single surgeon between 1987 and 1992 were reviewed. Of these, 66 were total knee replacements and 62 were total hip replacements. Total hip replacement will be presented in Part Two. The African-American patients' attitudes toward joint replacement, comorbid states, complications, and overall results were examined. All patients were evaluated objectively and subjectively both clinically and radiographically. Ninety-five percent of the patients had good to excellent results, confirming our belief that despite the coexistence of medical illnesses, advanced age, presence of moderate obesity, and severity of disease, total joint arthroplasty is an effective and satisfying method of treatment for the African-American patient with severe arthritis.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Horton RM,Rankin EAsubject
Has Abstractpub_date
1996-03-01 00:00:00pages
153-7issue
3eissn
0027-9684issn
1943-4693journal_volume
88pub_type
杂志文章abstract::Women from Africa are a fast-growing population group in the United States; however, little is known about their breast cancer outcomes. There is minimal empirical data that describe the cancer practices, beliefs, and needs of African-born women. We conducted 2 focus groups with 20 African women to: (1) explore their ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30553-8
更新日期:2010-06-01 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::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::Enlarged spleen without a clear-cut etiology, and believed to be related to malarial infestations, has been referred to as "tropical splenomegaly" and "cryptogenetic splenomegaly." Splenectomy performed in such cases after a failure of antimalarial therapy shows histopathologically, while some of these meet the criter...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1980-04-01 00:00:00
abstract::Collagenous colitis has been associated with autoimmune diseases. Co-occurence of systemic sclerosis and collagenous colitis is particularly rare. Herein, we described a 65-year-old woman with systemic sclerosis whose diarrhea and abdominal cramping were due to collagenous colitis. We have reviewed the clinical and hi...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2007-06-01 00:00:00
abstract::The surgical approach to liver injury depends on a clear and concise characterization of the wound. Blunt trauma can produce devastating wounds that disrupt hepatic venous drainage. Atrial caval shunting remains a useful technique for Grade V liver wounds. Liver packing may be necessary if diffuse lobar injury, acidos...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1994-01-01 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::A pilot study was conducted in anticipation of implementation of a larger project to assess human immunodeficiency virus (HIV) risk behaviors among older African Americans. A cross-sectional methodology was employed, including 33 African Americans aged more than 50 years in the metropolitan Washington, DC, area. The a...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30291-1
更新日期:2011-03-01 00:00:00
abstract:BACKGROUND:Accidental traumatic injury is the number 1 cause of morbidity and mortality in the pediatric population. In this study, we aim to prove that certain pediatric patients can be treated with good outcomes at an adult level 1 trauma center. METHODS:Retrospective analysis using the Howard University Hospital tr...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30654-4
更新日期:2010-08-01 00:00:00
abstract::Although pulmonary tuberculosis has decreased, extra pulmonary tuberculosis has shown a relative increase in frequency during the past decade. This paper discusses three cases of extrapulmonary tuberculosis which presented with abdominal signs. The patients were completely evaluated and surgery was done, followed by a...
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::We report a case of a Hispanic male presenting with acute onset of bilateral lower extremity weakness, without any antecedent viral or bacterial illness, dietary changes, infiltrative orbitopathy, diffuse goiter, infiltrative dermopathy, and family history of periodic paralysis, who was later found to have Graves' dis...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2002-05-01 00:00:00
abstract:OBJECTIVE:A retrospective observational study was done to describe the clinical and pathological profile of gastrointestinal stromal tumors (GISTs) in Afro-Caribbean patients at a tertiary care referral center over a 5-year period. RESULTS:Eighteen cases of GIST were identified over the period under review. Male to fe...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30122-x
更新日期:2012-01-01 00:00:00
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 w...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:1994-10-01 00:00:00
abstract:BACKGROUND:Although there have been studies examining HIV knowledge among college population, current study is the first providing comparable information on HIV knowledge in general and testing specifically via online surveys among black and white college students. METHODS:Blacks (N=222) were recruited from 15 histori...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)31377-8
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVE:To assess differences in self-reported health status and satisfaction between African-American and caucasian veterans with ischemic heart disease (IHD). DATA SOURCES/STUDY SETTING:African-American and caucasian patients enrolled in General Internal Medicine clinics at six Veteran Affairs Medical Centers. ST...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2004-06-01 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::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::There have been a number of studies looking at the prevalence of Parkinson's disease (PD) in different racial and geographical populations. Some of the earliest studies suggested a difference in the prevalence of PD in African Americans as compared with Caucasians. As such a difference would have important implication...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:2004-07-01 00:00:00
abstract:BACKGROUND:Dyslipidemia is among the most significant risk factors of cardiovascular disease. Many patients with dyslipidemia fail to meet certain therapeutic targets as a result of clinical inertia. AIMS:To explore the views and opinions of physicians who often see and provide healthcare to patients with dyslipidemia...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2018.04.002
更新日期:2019-02-01 00:00:00
abstract::A severe, acutely evolving peripheral gangrene of unknown etiology has been reported sporadically from different parts of Africa. This case report describes such a case of fulminant gangrene of the extremities following a febrile diarrheal illness associated with abdominal pain, polyarthropathy, and altered hemostatic...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1993-07-01 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::We have attempted to initiate a much needed constructive dialogue regarding the participation of African-American patients in clinical cancer research trials. It was our intent to provide a greater understanding of the historical context and evolving nature of clinical research trials pertaining to cancer. Some of the...
journal_title:Journal of the National Medical Association
pub_type: 社论
doi:
更新日期:1994-03-01 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::This study identifies those variables, cognitive and noncognitive, that relate significantly to the successful completion of the combined BA/MD degree program. The study sample included 69 black students who entered at year one, directly from high school, between 1972 and 1981. The Student's t-test identified statisti...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1992-03-01 00:00:00
abstract::It is now well documented that substantial disparities exist in the quality and quantity of medical care received by minority Americans, especially those of African, Asian and Hispanic heritage. In addition, the special needs and responses to pharmaceutical treatment of these groups have been undervalued or ignored. T...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:2002-10-01 00:00:00
abstract::A retrospective descriptive study of older patients evaluated by the psychiatric emergency service (PES) of a general hospital was implemented. The medical records of all patients aged 65 years and older evaluated by the PES during the 1980 calendar year were reviewed. Seventy-four patients were identified, 38 male an...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1988-07-01 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: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:OBJECTIVE:To identify predictors of compliance with antihypertensive combination therapy in a Medicaid population. METHODS:Retrospective medical and pharmacy claims data for Maryland Medicaid patients receiving angiotensin converting enzyme inhibitors (ACEls)/hydrochlorothiazides (HCTZs) or ACEl/calcium channel blocke...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30808-7
更新日期:2009-01-01 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