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' a...

journal_title：Journal of the National Medical Association

authors： Horton RM,Rankin EA

更新日期：1996-03-01 00:00:00

abstract：:The Keller resection arthroplasty was first described in 1904. Ninety years later, this operation continues to be useful to orthopaedic surgeons and their patients. This article presents the results of Keller bunionectomies in a private practice setting. Indications, surgical techniques, postoperative management, and ...

journal_title：Journal of the National Medical Association

authors： Rankin ME,Rankin EA

更新日期：1996-01-01 00:00:00

abstract：:The Masterson curette was used to sample the endometrial cavity of 25 women prior to scheduled hysterectomy for benign or malignant pathology. Adequate amount of tissue was obtained in 20 (87%) of 23 patients who did not have endometrial atrophy. The Masterson curettage detected all seven cases of endometrial hyperpla...

journal_title：Journal of the National Medical Association

authors： Reddington L,Hernandez E,Balsara G,Hughes D,Anderson L,Heller PB

更新日期：1995-12-01 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

authors： Allen K

更新日期：1995-10-01 00:00:00

abstract：:This article describes a patient with a large, main pulmonary artery thromboembolus with normal arterial blood gas results, including normal alveolar-arterial oxygen gradient. The diagnosis was established using transesophageal echocardiography and confirmed with pulmonary angiography. The patient subsequently underwe...

journal_title：Journal of the National Medical Association

authors： Mabee SW,Mabee CL,Pacht ER

更新日期：1995-09-01 00:00:00

abstract：:Particularly for children of color, one's productivity and prosperity as an adult depend to a significant degree on one's education as a child. Education is both the attainment of skills and the development of character. In the National Academy of Science's 1993 publication, Losing Generations: Adolescents in High Ris...

journal_title：Journal of the National Medical Association

authors： Tuakli-Williams J,Carrillo J

更新日期：1995-07-01 00:00:00

abstract：:Increasing attention has been given to the investigation of cardiovascular disease in women, although African-American women have received little attention. This study compares characteristics and outcomes in women admitted to coronary care units for suspected acute myocardial infarction (MI). Between January 1988 and...

journal_title：Journal of the National Medical Association

authors： Maynard C,Every NR,Litwin PE,Martin JS,Weaver WD

更新日期：1995-05-01 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

authors： Mitchell KJ,Williams ES,Leffall LD Jr

更新日期：1995-04-01 00:00:00

abstract：:Violence is now recognized as a health epidemic. Violence is especially prevalent in inner-city African-American communities. Most of the attention has focused on youths. However, the effects of violence extend to the communities' hypertensive patients. Patients are subjected to the emotional impact of violence on and...

journal_title：Journal of the National Medical Association

authors： Fong RL

更新日期：1995-03-01 00:00:00

abstract：:Angiotensin II is a prothrombotic vasoconstrictor. This study proves that many hypertensives are hypercoagulable and at risk for myocardial infarction. The modified recalcification time (MRT) test, used to assess hypercoagulability, incorporates the role of tissue factor in coagulation by activating the monocyte with ...

journal_title：Journal of the National Medical Association

authors： Miller MA,Spillert CR,Ponnudurai R,Bonthu S,Lazaro EJ

更新日期：1995-01-01 00:00:00

abstract：:The psychosocial adjustment of patients who are experiencing physical disabilities is examined within the context of a family ecological approach. Historical and sociocultural characteristics of African-American families are delineated and explored in terms of their potentially positive impact on the adjustment proces...

journal_title：Journal of the National Medical Association

authors： Turner WL,Alston RJ

更新日期：1994-12-01 00:00:00

abstract：:Previous studies document the importance of religious involvement in African-American communities. This study examines the extent to which religious involvement is associated with health status among African-American males. The data come from a community sample of 537 males residing in a major US urban area. Three ind...

journal_title：Journal of the National Medical Association

authors： Brown DR,Gary LE

更新日期：1994-11-01 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

authors： Rowley DL

更新日期：1994-10-01 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

authors： Darling CF,Byrd SE,Allen ED,Radkowski MA,Wilczynski MA

更新日期：1994-09-01 00:00:00

abstract：:A metabolic imbalance technique was used to study the effects of zinc deficiency on immunoglobulin levels in mice infected with Trypanosoma musculi or immunized with parasite products. Zinc-deficient mice developed higher numbers of parasitemia earlier and exhibited prolonged infection. Irrespective of the diet, highe...

journal_title：Journal of the National Medical Association

authors： Humphrey PA,Lee CM,Ashraf M

更新日期：1994-08-01 00:00:00

abstract：:This article presents data on total cholesterol (TC) determinations carried out in black patients of an inner-city neighborhood health center. In the pediatric group (under age 18), TC determinations were carried out only in over-weight children. In adults, they were performed routinely on all new admissions. During 1...

journal_title：Journal of the National Medical Association

authors： Blumenthal HT,Mayfield R

更新日期：1994-07-01 00:00:00

abstract：:An analysis of the articles published in 1992 in the Journal of the National Medical Association (JNMA) was performed to assess the content, statistical analysis, and the profile of its contributors. Seventy-six articles were reviewed. The majority of the articles focused on biomedical aspects of health; however, a si...

journal_title：Journal of the National Medical Association

authors： Paige CY,Johnson MS

更新日期：1994-06-01 00:00:00

abstract：:The gastrointestinal tract is the largest lymphoid reservoir of the body and is subject to damage that compromises the cellular and humoral defense mechanism. With the increasing numbers of patients infected with the human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS), health-care practiti...

journal_title：Journal of the National Medical Association

authors： Antony SJ

更新日期：1994-05-01 00:00:00

abstract：:Three open-label studies were conducted in which natural human interferon-alpha (nHuIFN-alpha) was given orally to human immunodeficiency virus (HIV)-infected patients at a daily dosage of 150 IU for 12 months in an attempt to assess the effects of this treatment on their CD4+ cell counts. In the first study, 110 pati...

journal_title：Journal of the National Medical Association

authors： Jordan WC

更新日期：1994-04-01 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

authors： Thomas CR Jr,Pinto HA,Roach M 3rd,Vaughn CB

更新日期：1994-03-01 00:00:00

abstract：:A review of 313 intraoperative consultations and/or frozen section evaluations of neoplasms of the ovary was conducted. The intraoperative diagnosis of benign or malignant was compared with the diagnosis found at permanent section. Only six cases were deferred to permanent section. The overall accuracy was 93.9%. The ...

journal_title：Journal of the National Medical Association

authors： Spann CO,Kennedy JE,Musoke E

更新日期：1994-02-01 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

authors： Walker ML

更新日期：1994-01-01 00:00:00

abstract：:This study was undertaken to clarify the complex relationship between poverty and race with disease-specific mortality. Data from the 1987 National Health Interview Survey and the 1986 National Mortality Followback Survey were used to estimate standardized mortality ratios (SMRs) for various categories (all causes, al...

journal_title：Journal of the National Medical Association

authors： Sterling T,Rosenbaum W,Weinkam J

更新日期：1993-12-01 00:00:00

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. Fema...

journal_title：Journal of the National Medical Association

authors： Silberg SL,Torres CG,Owen WL,Parker DE,Neas BR

更新日期：1993-11-01 00:00:00

abstract：:Twenty-one patients with postpolio syndrome were surveyed to determine otolaryngologic symptoms. An alteration in voice, dysphagia, and fatigue were the most common symptoms reported. Prevailing etiologic theories are presented, and treatment recommendations are offered. ...

journal_title：Journal of the National Medical Association

authors： Baugh RF

更新日期：1993-09-01 00:00:00

abstract：:This study explores the effects of abuse on the risk-taking behaviors of 2973 black and white adolescent males, 412 of whom were sexually or physically abused. Surveys on mental and physical health, risk-taking behaviors and attitudes, and family living were administered to 9th and 12th graders in an urban midwestern ...

journal_title：Journal of the National Medical Association

authors： Hernandez JT,Lodico M,DiClemente RJ

更新日期：1993-08-01 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

authors： Adogu AA,Abengove CU

更新日期：1993-07-01 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

authors： Jam M,Datta NS,Askari A

更新日期：1993-06-01 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

authors： Byrd SE,Darling CF,Wilczynski MA

更新日期：1993-05-01 00:00:00

abstract：:Perineural and endoneural tumor spread is a form of metastatic disease in which the primary tumors spread along neural pathways and gain access to noncontiguous regions. Although rare, this type of skip metastasis into the cranial cavity occurs from tumors of the parotid gland and facial skin. Recognition of this proc...

journal_title：Journal of the National Medical Association

authors： Kumar PP,Patil AA,Ogren FP,Johansson SL,Reeves MA

更新日期：1993-05-01 00:00:00

abstract：:Relatively low serum albumin is a predictor of increased mortality and coronary heart disease incidence. To shed light on the likelihood of confounding this association by high-density lipoprotein (HDL) cholesterol or other risk factors, data from the National Center for Health Statistics were examined. Serum albumin ...

journal_title：Journal of the National Medical Association

authors： Gillum RF

更新日期：1993-04-01 00:00:00

abstract：:Prehospital delay is an important cause of out-of-hospital coronary mortality. To determine the effects of decision time delay in a patient population comprised mainly of blacks and the underprivileged, 74 consecutive patients with acute chest pain necessitating admission to the coronary care unit in a large urban hos...

journal_title：Journal of the National Medical Association

authors： Ghali JK,Cooper RS,Kowatly I,Liao Y

更新日期：1993-03-01 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

authors： Fortson JK,Prunes FS,Lang AG

更新日期：1993-02-01 00:00:00

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 (Gro...

journal_title：Journal of the National Medical Association

authors： Tinubu SA,Cornwell EE 3rd,Siram SM

更新日期：1993-01-01 00:00:00

abstract：:A case of pancreatitis that occurred as a complication of a vaso-occlusive crisis in a child with sickle cell anemia is reported. We encourage others to consider pancreatitis as a cause for abdominal pain in children with multisystem diseases, particularly those that may cause ischemic organ injury such as sickle cell...

journal_title：Journal of the National Medical Association

authors： Sheehan AG,Machida H,Butzner JD

更新日期：1993-01-01 00:00:00

abstract：:Nosocomial sinusitis is occasionally overlooked as a source of sepsis in critically ill patients. Physical examination is usually unreliable and purulent nasal discharge is absent up to 73% of the time. Computed tomography scans of the sinuses and aspiration and culture of sinus fluid are the hallmark of diagnosis. Th...

journal_title：Journal of the National Medical Association

authors： Lum Cheong RS,Cornwell EE 3rd

更新日期：1992-12-01 00:00:00

abstract：:Leukoedema, a grayish-white lesion of the oral mucosa in humans, was once thought to be a probable precursor to leukoplakia. Clinical examination differentiates leukoedema from leukoplakia, lichen planus, white sponge nevus, and pathomimia morsicatio buccarum. Prevalence rates vary greatly in different countries and i...

journal_title：Journal of the National Medical Association

authors： Martin JL

更新日期：1992-11-01 00:00:00

abstract：:This study investigates the alteration of serum cholinesterase levels in diabetics and its possible relationship to blood glucose, insulin, triglyceride, and cholesterol levels. Fourteen phasic insulin-dependent diabetes mellitus patients were compared with 10 insulin-dependent diabetes mellitus, 10 noninsulin-depende...

journal_title：Journal of the National Medical Association

authors： Ragoobirsingh D,Bharaj BS,Morrison EY

更新日期：1992-10-01 00:00:00

abstract：:Even though Lyme disease probably existed in Oklahoma prior to 1975 when the disease was first reported in Connecticut and even though ecological conditions favor a high prevalence, an unexpectedly low rate was evidenced in both a serological survey and the number of cases reported to the Oklahoma State Department of ...

journal_title：Journal of the National Medical Association

authors： Lawrence CH,Botchlet R,Silberg SL,Flournoy DJ,Guthrie PJ

更新日期：1992-09-01 00:00:00

abstract：:The treatment of patients with sickle cell disease and cholelithiasis is controversial. This retrospective study assesses the outcome of preoperative transfusion and timely cholecystectomy in symptomatic sickle cell disease patients. Fourteen patients who had undergone cholecystectomy were determined to have sickle ce...

journal_title：Journal of the National Medical Association

authors： Rudolph R,Williams JS

更新日期：1992-08-01 00:00:00