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Journal of the National Medical Association

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https://www.readbyqxmd.com/read/28599763/beliefs-about-genetically-targeted-care-in-african-americans
#1
Chanita Hughes Halbert, Jasmine A McDonald, Gayenell Magwood, Melanie Jefferson
We examined beliefs about genetically targeted care (GTC) among African American men and women in a hospital-based sample and identified sociodemographic, cultural, and clinical factors having significant independent associations with these beliefs. Specifically, beliefs about GTC were evaluated after respondents were randomly primed with a racial or non-racial cue about race and genetics. Despite priming with a racial or non-racial cue, many respondents had positive beliefs about GTC. But, 49% believed that GTC would limit access to medical treatment, 46% believed that people will not trust GTC, and 20% believed that people like them would not benefit from GTC...
July 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/28599762/co-teaching-exploring-an-alternative-for-integrated-curriculum
#2
Sadhana Sharma, Ravikirti, Asgar Ali, Roshan Takhelmayum, Mala Mahto, Rathish Nair
PURPOSE: Currently, the curriculum of medical education is compartmentalized which makes achieving the expected outcome, a real challenge. Co-teaching, an existing concept in education, however, may be used in medical education for integrating the applied component while basic concepts are being taught. The hypothesis, "can co-teaching be an alternate for an integrated curriculum?" was explored in this study. Therefore, the present study was designed to compare the outcomes of co-teaching with the existing teaching methodology owing to the absence of integrated curriculum...
July 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/28599761/racial-disparity-in-localized-prostate-cancer-mortality
#3
Haichang Xin
This study aims to examine racial differences in all-cause mortality between African American (AA) and non-African American localized prostate cancer patients. This study advances academic discussion by being among the first to use a sample more representative of the general population that is different from certain subpopulations examined in literature. This study adopted a retrospective cohort study design using the Florida Cancer Data System. The hierarchical logistic regression was employed to analyze mortality in 2004 among living patients with localized prostate cancer from baseline 2000...
July 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/28599760/motivators-barriers-and-facilitators-to-weight-loss-and-behavior-change-among-african-american-adults-in-baltimore-city-a-qualitative-analysis
#4
William H Coe, Leslie Redmond, Jeanine M Parisi, Janice V Bowie, Elizabeth Y Liu, Tin Yee Ng, Alberta M A Onyuka, Marcia Cort, Lawrence J Cheskin
BACKGROUND: African American adults achieve smaller amounts of weight loss than their white counterparts when exposed to the same intervention and are more likely to regain weight during long-term follow-up. OBJECTIVE: To identify perceived motivators, barriers, and facilitators to weight loss and behavior change among African American adults. METHODS: Two focus groups were conducted between April and May 2015 at an urban community health center in Baltimore City, Maryland...
July 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/28599759/promoting-progress-or-propagating-problems-strategic-plans-and-the-advancement-of-academic-faculty-diversity-in-u-s-medical-schools
#5
David M Washington, Michael K Paasche-Orlow, Jane M Liebschutz
No abstract text is available yet for this article.
July 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/28599758/president-s-message
#6
EDITORIAL
Richard Allen Williams
No abstract text is available yet for this article.
July 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/28599757/the-need-for-basic-science-an-editorial
#7
EDITORIAL
William B Lawson
No abstract text is available yet for this article.
July 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/28599756/tripterygium-wilfordii-inhibiting-angiogenesis-for-rheumatoid-arthritis-treatment
#8
REVIEW
Weisan Zhang, Fengtan Li, Wenyuan Gao
Rheumatoid arthritis (RA) is a chronic inflammatory disease with a serious pre-vascular inflammatory phase, followed by significant increase in vessel growth. Inhibition of angiogenesis is a novel therapeutic strategy against RA. The Chinese herbal remedy Tripterygium wilfordii, Hook. f. (TwHf) has been reported to be therapeutically efficacious in the treatment of RA. Recent studies have revealed that treatment with TwHf extracts inhibit angiogenesis of RA, thereby elaborately attenuation RA symptom. This review mainly addresses the anti-angiogenesis effect of TwHf in treatment of RA...
July 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/28599755/decreased-prevalence-of-diabetes-mellitus-in-jamaica
#9
Dalip Ragoobirsingh, Errol Y St A Morrison, Lurline Less
The purpose of this paper is to report the dramatic changes in the point prevalence of diabetes mellitus in the adult population of Jamaica following education intervention. The initial prevalence in the 15-and-over age group was determined by a two-stage stratified random sampling design in 1993. In 1997, the University of the West Indies Diabetes Outreach Project thru its public service arm, the Diabetes Association of Jamaica, developed and implemented a Peer Facilitators Diabetes Education Programme. This effort has realized an increased patient and public education as well as concomitant increased patient compliance and a reduction in related complications...
July 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/28599754/the-effects-of-sex-protein-receptors-and-sex-steroid-hormone-gene-polymorphisms-on-breast-cancer-risk
#10
REVIEW
Somayeh Jahandoost, Pourandokht Farhanghian, Sakineh Abbasi
Breast cancer is a common disease and a major cause of death among women throughout the world. Various genes are believed to be involved in the initiation and progression of the disease. Some polymorphisms of these genes increase susceptibility to breast cancer in particular ethnicities. This study used electronic literature search to review the effects of different sex steroid hormone gene polymorphisms on breast cancer risk. Our findings indicated that some polymorphisms in estrogen receptor alpha (ER-α), ER-β, progesterone receptor (PGR), pregnane X receptor (PXR), and cytochrome P450 enzymes (CYPs) affected breast cancer susceptibility, especially in African American women...
July 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/28599753/communication-between-middle-ses-black-women-and-healthcare-providers-about-hiv-testing
#11
Niasha A Fray, Kia Lilly Caldwell
PURPOSE: This article explores the impact of patient and healthcare provider communication (PPC) on the HIV testing behaviors of middle socioeconomic status (SES) Black women in North Carolina. We explore how PPC about STIs and HIV (or the lack thereof) affects the provision of STI/HIV testing by either confirming the need for middle SES Black women to test routinely or potentially deterring women from feeling they need to be tested. METHODS/FINDINGS: After conducting 15 qualitative interviews with middle SES Black women between 25 and 45 years of age, we uncovered the role of patient self-advocacy in promoting HIV testing among middle SES Black women when they communicate with their healthcare providers...
July 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/28599752/the-effect-of-ducom-s-mini-medical-school-summer-camp-on-students-interests-in-medicine
#12
Michael Briskey, Ali Ayyash, Angela Chang, Mary K Mulcahey
Drexel University College of Medicine hosts two, three-week long Mini-Medical School Summer Camps each summer. These programs offer high-school seniors and freshmen in college the opportunity to experience various aspects of medical school and the life of a physician: attending lectures, observing surgeries, shadowing clinical physicians, etc. The purpose of this study is to see if the program increases students' interest in pursuing a career in medicine, the aspects of the program that accomplish this, and assess general satisfaction of the program...
July 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/28259223/anti-aging-role-of-curcumin-by-modulating-the-inflammatory-markers-in-albino-wistar-rats
#13
Moodithaya Shailaja, K M Damodara Gowda, Kedilaya Vishakh, N Suchetha Kumari
PURPOSE: Advanced age is associated with an accumulation of free radical damage, which leads to physiological and clinical modifications. Numerous pharmaceutical and nutraceuticals are considered to influence longevity and prompting healthy ageing. Therefore, the current study attempted to investigate Curcumin's role in the inflammatory indices as anti-ageing marker in albino Wistar rats. METHODS: Twelve months old rats were used in the study, grouped as Normal control (NC), Sham control (SC), Curcumin-1, Curcumin-2 and Curcumin-3...
April 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/28259222/erratum-to-correlation-of-cat-score-with-peak-expiratory-flow-in-acute-exacerbation-of-copd-patients-journal-of-the-national-medical-association-2016-108-3-pages-164-168
#14
Cemil Kavalci, Muhittin Serkan Yilmaz, Afsin Emre Kayipmaz, Bahattin Isık, Elif Celikel, Gulsum Kavalci, Fevzi Yilmaz, Miray Ozlem, Bedriye Muge Sonmez, Selman Celebi
No abstract text is available yet for this article.
April 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/28259221/jnma-reviewer-list
#15
Zilda Rogers
No abstract text is available yet for this article.
April 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/28259220/renal-medullary-carcinoma-and-sickle-cell-trait-a-push-for-early-diagnosis-and-intervention-report-of-two-cases
#16
Spencer Alexander Carter, Anna N Walker
Renal medullary carcinoma (RMC) is a rare but highly aggressive neoplasm that primarily affects young African Americans with sickle cell trait. Most patients present with macroscopic hematuria and have metastases at diagnosis. Chemotherapy, biologics directed against the more common renal cell carcinomas and radiation have all shown limited efficacy in treating patients with advanced RMC. We report two patients with RMC. Both had Stage IV disease. One underwent radical nephrectomy followed by radiation and biologic drug therapy but died five months later; the other underwent multiple cycles of chemotherapy plus anti-angiogenesis treatment but died 15 months after diagnosis...
April 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/28259219/non-adherence-in-hypertension-management-deficit-in-information-or-trust
#17
Tamrat M Retta, John Kwagyn, Otelio S Randall
Hypertension, a leading cause of cardiovascular morbidity and mortality worldwide, continues to challenge health professionals. There are too many patients with uncontrolled hypertension who end up with life altering or life ending complications. Over the years so much hypertension research has been conducted; and numerous effective antihypertensive drugs have been discovered and yet the rate of blood pressure control remains unacceptably low. It is high time that we focused our attention on the optimal use of the available knowledge and medications...
April 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/28259218/race-ethnicity-concordance-between-patients-and-physicians
#18
Pedro A Poma
The growth of our population, especially the older than 65 segment, require more health providers. Moreover, compared to whites, persons of racial/ethnic minorities have less favorable clinical outcomes and this may be related to access to health care. Racial/ethnic concordance between physicians and patients improve outcomes and satisfaction with medical care. New medical schools have been opened, some schools have increased the size of the entering class, and there is the general desire to increase the enrollment and graduation of minority groups' physicians...
April 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/28259217/the-first-case-of-her2-invasive-ductal-carcinoma-arising-from-a-breast-hamartoma-and-literature-review
#19
Lea Baer, Sherise Chantell Rogers, Patricia Farrelly, Carmen Tornos, Keith Sweeney
Carcinomas arising from breast hamartomas are exceedingly rare. We present the first reported case of an African-American female presenting with a right breast lump and a subsequent mammogram suggestive of a hamartoma. She later underwent lumpectomy and was found to have HER2+ invasive ductal carcinoma (IDC) arising from a hamartoma. She was amenable to HER2-targeted trastuzumab, hormone therapy and adjuvant radiation but declined chemotherapy. In a review of the literature, IDC is the predominant neoplastic type found in hamartomas...
April 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/28259216/the-relationship-of-baseline-prostate-specific-antigen-and-risk-of-future-prostate-cancer-and-its-variance-by-race
#20
Daniel P Verges, Hasan Dani, William A Sterling, Jeremy Weedon, William Atallah, Komal Mehta, David Schreiber, Jeffrey P Weiss, Nicholas T Karanikolas
PURPOSE: Several studies suggest that a baseline prostate specific antigen (PSA) measured in young men predicts future risk of prostate cancer. Considering recent recommendations against PSA screening, high-risk populations (e.g. black men, men with a high baseline PSA) may be particularly vulnerable in the coming years. Thus, we investigated the relationship between baseline PSA and future prostate cancer in a black majority-minority urban population. MATERIALS AND METHODS: A retrospective analysis was performed of the prostate biopsy database (n = 994) at the Brooklyn Veterans Affairs Hospital...
April 2017: Journal of the National Medical Association
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