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Journal of the National Medical Association

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https://www.readbyqxmd.com/read/30104023/access-to-orthopedic-care-post-medicaid-expansion-through-the-affordable-care-act
#1
Christopher E Marrero, Linus I Igbokwe, Claudia Leonardi
BACKGROUND: As of January 2017, 32 states have decided to expand Medicaid through the Patient Protection and Affordable Care Act. The uninsured rate in the United States has decreased, but does the increased coverage translate to increased access to outpatient orthopedic care? Through a simulated patient telephone survey, this study aims to evaluate access to orthopedic surgeons for Medicaid patients in Louisiana. METHODS: A comprehensive list of potentially eligible orthopedic surgeons in the state of Louisiana was obtained from an online public database managed by the Louisiana Medicaid website (lamedicaid...
August 10, 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/30100090/research-participation-of-a-professional-organization-in-clinical-trials-the-association-of-black-cardiologists-clinical-trial-investigator-identification-project
#2
Chidiebube C Egwim, Alvin J Rucker, Deng C Madut, Goderfroy S Chery, Lonnie T Sullivan, Larry R Jackson, Wayne B Batchelor, Kevin L Thomas
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 established relationships and are uniquely positioned to make referrals for participation. While prior initiatives have focused on training black physicians to conduct clinical research, we sought to determine the potential of utilizing a professional organization as a resource to identify established investigators to champion recruitment of underrepresented racial and ethnic populations...
August 9, 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/30078757/predictive-analysis-on-behavioural-risk-factor-surveillance-system-through-ensemble-classifiers-and-clusters
#3
K R Sekar, Mahadev Easwar, R Manikandan, K S Ravichandran
INTRODUCTION: The World Health Organization (WHO) has been asserting the importance of health care in today's world. The objective of this research is to find out the type of medication that needs to be provided to the people at early stages to prevent behavioural risk factors. The health department of United States has a great vision to improve the immune system of the people and has taken measures to do the same through a Behavioural Risk Factor Surveillance System (BRFSS). This research aims to prevent behavioural risk factors by predictive analysis using the above mentioned dataset from the Centres for Disease Control and Prevention (CDC)...
August 2, 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/30064693/the-need-for-cultural-competency-and-healthcare-literacy-with-refugees
#4
Amanda Dave
In order to best provide appropriate healthcare to individuals of a variety of ethnic and socio-economic backgrounds, a healthcare provider should be aware of the variables that affect not only an individual's access to healthcare, but variables that may hinder the patient from navigating the healthcare system effectively. Refugees faces diverse and extensive challenges as they adjust to living in the United States. Collaboration and communication; as well as frequent reassessment of that communication is essential to culturally appropriate care...
July 28, 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/30064692/racial-socialization-retrofited-and-refurbished
#5
EDITORIAL
Richard Garcia
No abstract text is available yet for this article.
July 28, 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/30064691/does-low-fev1-in-addition-to-fixed-ratio-and-or-lower-limit-of-normal-of-fev1-fvc-improve-prediction-of-mortality-in-copd-the-nhanes-iii-linked-mortality-cohort
#6
Yewande E Odeyemi, O'Dene Lewis, Julius Ngwa, Kristen Dodd, Richard F Gillum, Alem Mehari
PURPOSE: There is presently an ongoing debate on the relative merits of suggested criteria for spirometric airway obstruction. This study tests the null hypothesis that no superiority exists with the use of fixed ratio (FR) of forced expiratory volume in the first second (FEV1)/forced vital capacity (FVC) < 0.7 versus less than lower limit predicted (LLN) criteria with or without FEV1 <80% predicted in regards to future mortality. METHODS: In 1988-1994 the Third National Health and Nutrition Examination Survey (NHANES III) measured FEV1 and FVC with mortality follow-up data through December 31, 2011...
July 28, 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/30032867/association-between-estimated-glomerular-filtration-rate-and-microvascular-complications-in-type-ii-diabetes-mellitus-patients-a-1-year-cross-sectional-study
#7
Prakash Babaliche, Rishit A Nadpara, Arif Maldar
BACKGROUND: Previous studies have indicated that reduced estimated glomerular filtration rate (eGFR) is not only the predictor of renal function impairment in patients with diabetic nephropathy, but also in patients with diabetic neuropathy, diabetic retinopathy, and other diabetic-related complications. Therefore, evaluation of eGFR is critical in diabetic patients. However, there is a paucity of data regarding the association of various stages of kidney disease with microvascular complications...
July 19, 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/30032866/pathogenic-mechanisms-of-prediabetes-in-obese-vs-very-obese-african-american-women-implications-for-diabetes-prevention
#8
Kwame Osei, Trudy Gaillard
BACKGROUND: The influence of obesity on the development of prediabetes among African American women (AAW) remains uncertain. Thus, we investigated whether the pathogenic mechanisms of prediabetes differ in obese (OB, BMI<35 kg/m2 ) and very obese (VOB, BMI>35 kg/m2 ) AAW. SUBJECTS: /Methods: We recruited 26-OB and 41-VOB, AAW with prediabetes, mean age (46.3 ± 10.3 years), A1C (5.9 ± 0.4%) and BMI (38.3 ± 8.2 kg/m2 ). OGTT and FSIVGT were performed in each subject...
July 19, 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/29778134/central-serous-chorioretinopathy-in-african-americans-at-wilmer-eye-institute
#9
Pooja H Mehta, Jay Chhablani, Jiangxia Wang, Catherine B Meyerle
OBJECTIVE: To evaluate the frequency of central serous chorioretinopathy (CSC) in African Americans/blacks within an academic center in a predominantly African American city, as the current belief is that CSC is rare in this population. METHODS: A retrospective review of all patients' charts diagnosed with CSC at Wilmer Eye Institute/Johns Hopkins University from August 2009-August 2015 was conducted via an electronic health record search (EPIC). The charts were categorized by self-reported race and gender...
June 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/29778133/study-of-acute-kidney-injury-on-309-hypertensive-inpatients-with-acei-arb-diuretic-treatment
#10
Qiaochao Chen, Shaofang Zhu, Jianjun Liao, Wen He
BACKGROUND: The present study investigated risk factors for acute kidney injury (AKI) in patients found to be hypertensive during hospitalization who were prescribed angiotensin converting enzyme inhibitors (ACEI)/angiotensin receptor antagonists (ARB) + diuretic combinations, in order to determine which type of diuretic or combination of diuretics used in ACE/ARB-treated patients leads to a higher risk of acute kidney injury. METHOD: Data on basic information, medical history, diagnostic information and medications prescribed were obtained from the patients' medical records...
June 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/29778132/cervical-vestibular-evoked-myogenic-potentials-cvemps-evoked-by-air-conducted-stimuli-in-patients-with-functional-neck-dissection
#11
Hasan Demirhan, Bahtiyar Hamit, Özgür Yiğit
OBJECTIVE: Cervical vestibular-evoked myogenic potentials (cVEMPs) are short-latency vestibulocollic reflexes. The damage on any point of the vestibulocollic reflex pathway could affect the cVEMPs. Whether neck dissection has an effect on the sacculocollic pathway, and consequently on cVEMPs, remains unexplored. The aim of this study was to evaluate the cVEMP findings in patients with functional neck dissection without vestibular symptoms. PATIENTS AND METHODS: This cross-sectional study design, 20 patients who had undergone unilateral neck dissection with sparing of the accessory nerve, SCM and internal jugular vein, were included...
June 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/29778131/vitamin-d-receptor-level-in-biopsy-specimen-of-patients-with-ulcerative-colitis-results-from-a-center-in-western-anatolia
#12
Adil Coskun, Irfan Yavasoglu, Ibrahim Meteoglu, Mustafa Unubol, Burak Yasar, Serkan Borazan, Imran Kurt Omurlu, Vahit Yukselen, M Hadi Yasa
BACKGROUND: Ulcerative colitis (UC) is a chronic, inflammatory bowel diseases characterized by uncontrolled inflammatory condition of the colon and rectal mucosa marked by recurrent periods of remission and exacerbation. Vitamin D receptor (VDR) is a member of the steroid receptor family that mediates the effects of vitamin D by regulating transcription of multiple cellular genes. We aimed to evaluate vitamin d receptor level in biopsy specimen of patients with UC in this study. METHODS: VDR levels were retrospectively studied in colon biopsy specimens of UC patients...
June 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/29778130/the-effect-of-increasing-blood-flow-rate-on-severity-of-uremic-pruritus-in-hemodialysis-patients-a-single-clinical-trial
#13
Mansooreh Aliasgharpour, Soheila Zabolypour, Ahmadali Asadinoghabi, Hamid Haghani, Mahboub Lesanpezeshki
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 uremic pruritus in hemodialysis patients in Iran. METHODS: This clinical trial was performed on 60 hemodialysis patients that referred to hospitals affiliated to Tehran University of Medical Sciences and these patients were selected through the convenience method and were treated for four weeks...
June 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/29778129/the-effect-of-lavender-aromatherapy-on-the-symptoms-of-menopause
#14
Roya Nikjou, Rafat Kazemzadeh, Firoozeh Asadzadeh, Razzag Fathi, Farideh Mostafazadeh
OBJECTIVES: The menopause is a natural biological process that is happened by a permanent regal stop due to the loss of performance. The aim of this research is to evaluate the effect of lavender aromatherapy on the menopause symptoms. STUDY DESIGN: This double-blind cross over clinical trial carried out on 100 menopause women (between 45 and 155 years old) referring to health centers in Ardabil in 2013-14. The samples blocked randomly, placed in two experimental (Lavender) and control (diluted milk) groups...
June 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/29778128/the-relationship-between-glycaemic-control-and-non-alcoholic-fatty-liver-disease-in-nigerian-type-2-diabetic-patients
#15
Babalola Ishmael Afolabi, Bolanle Olubunmi Ibitoye, Rosemary Temidayo Ikem, Adeleye Dorcas Omisore, Bukunmi Michael Idowu, David Olubukunmi Soyoye
BACKGROUND: Metabolic risk factors associated with non-alcoholic fatty liver disease (NAFLD) include Type 2 diabetes mellitus (T2DM), obesity and dyslipidaemia. Prevention or management of these risk factors with glycaemic control, weight reduction and low serum lipid levels respectively have been reported to reduce the risk of NAFLD or slow its progression. Since ultrasound (USS) is a safe and reliable method of identifying fatty changes in the liver, this study was done to determine the relationship between glycaemic control and ultrasound diagnosed NAFLD in T2DM...
June 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/29778127/study-of-two-body-wear-performance-of-dental-materials
#16
Xin Hu, Qian Zhang, Jia Ning, Wenmeng Wu, Changyi Li
INTRODUCTION: The purpose of this study was to evaluate the two-body wear resistances of natural enamel and four dental materials in vitro. METHODS: The testing machine was modified to form a type of pin-on-disk wear test apparatus. Four dental material specimens (Au-Pd alloy, Ag-Pd alloy, FiltekTMP60 and FiltekTMZ350 composite resins) and enamel were used as the pins, and a steatite ceramic grinding wheel was used as the abrasive counter face. The wear volume loss and the rigidity value was measured...
June 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/29778126/is-parenteral-levothyroxine-therapy-safe-in-intractable-hypothyroidism
#17
Hande Peynirci, Bengur Taskiran, Erdinc Erturk, Pınar Sisman, Canan Ersoy
CASE: A 32-year old woman was admitted to the hospital due to intractable hypothyroidism refractory to high dose of oral l-thyroxine therapy. She underwent total thyroidectomy and radioactive iodine therapy due to papillary thyroid cancer. After excluding poor adherence to therapy and malabsorption, levothyroxine absorption test was performed. No response was detected. Transient neurologic symptoms developed during the test. She developed 3 attacks consisting of neurologic symptoms during high dose administration...
June 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/29778125/a-neonate-with-bilateral-vitreous-hemorrhages-after-intra-uterine-bowel-infarction-secondary-to-volvulus
#18
Des Bharti, Sugantha Krishnan
Vitreous hemorrhages are uncommon in the neonatal period. This article describes a neonatal who had bilateral vitreous hemorrhages after intrauterine bowel infarction.
June 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/29778124/paraprosthetic-complications-after-endoprosthesis-replacement-of-pelvis-joint-with-implants
#19
Shalginbay A Baimagambetov, Serik S Balgazarov, Zhanatay K Ramazanov, Yelena A Belan, Ruslan S Abilov, Alexey A Dolgov, Amangol S Balgazarov
PURPOSE: The purpose of the paper is shaping of ideas about possible ways of decreasing complications of the analyzed types of operations and identification of opportunities of the impact on the socio-economic environment among the Afro-American population of USA. The paper demonstrates that the issue of coxofemoral prosthesis is not only a purely medical but also a social problem. In particular, availability of timely aid, as well as insurance in the form of surgery, refer to relevance of the range of problems...
June 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/29778123/educated-and-at-risk-how-the-shortage-of-available-partners-influences-hiv-risk-for-college-educated-african-american-women
#20
Valerie R Newsome, Collins O Airhihenbuwa, Shedra Amy Snipes
BACKGROUND: African-Americans have the greatest gender-ratio imbalance compared to other racial groups in the United States. This has been associated with higher rates of concurrent sexual partnerships, increasing risk of HIV infection. College-educated African-American women are of particular interest as they are not often represented in studies on HIV prevention, while their dating and sexual negotiation patterns may differ from those of their lower-educated and lower-income counterparts more often the subject of study in HIV research among African-Americans...
June 2018: Journal of the National Medical Association
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