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Journal of the National Medical Association

Nicole C P Thompson
No abstract text is available yet for this article.
October 13, 2018: Journal of the National Medical Association
Abigail Quintos, Mario Naranjo, Colleen Kelly, Stuart F Quan, Sunil Sharma
PURPOSE: The HoSMed Database recently demonstrated a high prevalence of obstructive sleep apnea (OSA) in hospitalized obese patients. Based on a long-term follow-up, this study showed an improved survival among patients who were adherent with the therapy. In this post-hoc analysis we explore the characteristics, associations, and mortality outcome of OSA in the African American (AA) population. METHODS: These subset analyses included obese AA patients screened in the hospital as high-risk for OSA...
October 9, 2018: Journal of the National Medical Association
Aimee W Smith, Prasad Bodas, Lisa Sidebotham, JoEllen Weilnau, Beth Wildman
INTRODUCTION: Sickle cell disease (SCD) can shorten lives and may result in severe clinical complications. Hydroxyurea (HU) is inexpensive, widely available, and National Institutes of Health (NIH) recommends HU for SCD. Despite these benefits, utilization of HU is low. Barriers to taking HU include inaccurate perceptions of serious side effects such as hair loss, a significant barrier in the African American community. However, at doses for treating SCD, the incidence of side effects is extremely low...
October 9, 2018: Journal of the National Medical Association
Nadine Matthie, Diana Ross, Cynthia Sinha, Kirshma Khemani, Nitya Bakshi, Lakshmanan Krishnamurti
Acute, intermittent vaso-occlusive pain is the hallmark of sickle cell disease (SCD) and is associated with substantial morbidity and impaired quality of life (QOL). The subgroup of adults with SCD who transition from recurrent, acute pain to chronic, persistent pain have even greater QOL impairment and higher rates of healthcare utilization. Self-management is central to SCD management; however, its role in chronic pain management is not established. This qualitative study was conducted to answer the following research questions: (1) What is the chronic pain experience of adults with SCD? (2) What self-management strategies do adults with SCD use for chronic pain? and (3) Do adults with SCD have any needs in the self-management of chronic pain? Eighteen Black adults with SCD completed a demographics questionnaire and an interview...
September 25, 2018: Journal of the National Medical Association
Ayelet Rosenthal, Stephanie B Oliveira, Uche Madubuko, Hanan Tanuos, Joseph Schwab, Iona M Monteiro
OBJECTIVE: Infant feeding practices have been shown to differ between immigrants and non-immigrants in the United States. Our study characterizes feeding practices of infants of immigrant versus American-born mothers followed in an inner city Pediatric continuity clinic serving predominantly low socioeconomic status families. METHODS: A survey was given to 102 parents of infants ranging from 12 to 15 months of age who attended the clinic. Parents were asked about their country of origin, ethnic background and time since immigration to the US...
August 31, 2018: Journal of the National Medical Association
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
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
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
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
Richard Garcia
No abstract text is available yet for this article.
July 28, 2018: Journal of the National Medical Association
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
Niva Lubin-Johnson
No abstract text is available yet for this article.
October 2018: Journal of the National Medical Association
William B Lawson
No abstract text is available yet for this article.
October 2018: Journal of the National Medical Association
Kendall M Campbell, José E Rodríguez
Cross cultural mentoring for underrepresented minority in medicine (URMM) students has increased significance. It is especially important for non-URMM faculty and others from different backgrounds, ethnicities and cultures to know how to provide mentorship for URMM student success. This article provides approaches to mentorship for URMM students. Recommendations include mentoring around scholarly projects, identifying mentorship role, acknowledging personal attributes for mentoring, addressing racism, stereotypes and bias, collaborating with Historically Black Colleges and Universities and being attentive to the unique needs of URMM students...
October 2018: Journal of the National Medical Association
Ebru Ozan, Egemen Akincioglu, Tevfik Kaplan, Gokce Kaan Atac
Elastofibroma dorsi is a reactive pseudotumor of connective tissue, typically located in the infrascapular region. Awareness of this benign entity is crucial for radiologists, as well as clinicians, to avoid misdiagnosis and potential patient harm. In this report, we present clinical and imaging findings of an elastofibroma dorsi after a thoracotomy procedure.
October 2018: Journal of the National Medical Association
Syed Shakil-Ur-Rehman, Hossein Karimi, Syed Amir Gillani, Imran Amjad, Shakeel Ahmad, Amna Yaseen
OBJECTIVE: Because of the globally increasing occurrence of diabetes mellitus (DM) in the population, exercise is becoming vitally important for prevention and disease management, along with medical and dietary interventions. This study was designed to test the hypothesis that women with DM would respond similarly to men with DM following supervised structured aerobic exercise training (SSAET) program. METHODS: This randomized, single blind, controlled clinical trial was conducted on 102 patients with T2DM with ranging in age from 40 to 70 years...
October 2018: Journal of the National Medical Association
Naeimeh Tayebi, Zahra Yazdanpanahi, Shahrzad Yektatalab, Saeedeh Pourahmad, Marzieh Akbarzadeh
OBJECTIVE: The present research aimed to study the relationship between body mass index and menstrual disorders at different ages of menarche and sex hormones. METHODS: In this cross-sectional study, 2000 girls aged between 9 and 18 in all levels were selected through cluster sampling in Shiraz. Data were collected using demographic characteristics, menstrual disorders, body mass index and hormones' measure questionnaires. To analyze the data, we used SPSS 16 and Chi-square test...
October 2018: Journal of the National Medical Association
Sarah M Reilly, Megan Wilson Crowley, Pamela Harold, Deborah Hemphill, Laurene Tumiel Berhalter
BACKGROUND/PURPOSE: African American women are diagnosed with breast cancer at later stages and have higher mortality rates than white women. The Patient Voices Network (PVN), a community group whose vision is "a community of educated and involved patients working hand in hand with physicians in making decisions about their own health care," conceived of and implemented a walk to raise awareness of breast cancer and link women to screening resources in a low-income, urban community OBJECTIVES: To describe the planning and implementation of the Concerned About You: Breast Cancer Awareness Walk & Wellness Event and its impact on an academic community partnership...
October 2018: Journal of the National Medical Association
Kamal Shigli, Sushma S Nayak, Sivaranjani Gali, Banashree Sankeshwari, Deepti Fulari, K Shyam Kishore, Nagaraja Upadhya P, Vasanti Jirge
BACKGROUND: Construction of appropriate test items is a challenge in preparing quality multiple choice questions. Item analysis provides valuable feedback data on validity of multiple choice questions. The present study was conducted to evaluate the difficulty index, discrimination index and distracter efficiency of the items present in the multiple choice questions of post graduate dental entrance examinations. METHODS: A list consisting of 20 MCQs was taken from the entrance exam books of MCQs on an introductory topic and administered to 104 undergraduate students...
October 2018: Journal of the National Medical Association
Mostafa Bijani, Khatereh Rostami, Marzieh Momennasab, Shahrzad Yektatalab
BACKGROUND: Nurses are the most vulnerable group that are faced with occupational injuries caused by exposure to needle stick injuries. This study evaluated the effectiveness of a continuing education program about the prevention of occupational exposure to needle stick injuries in the nursing staff, based on the Kirkpatrick model. METHODS: In this study, 120 nurses were selected in the experimental and control groups. A continuing education program for experimental group was performed...
October 2018: Journal of the National Medical Association
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