11,320 results match your criteria Journal of the National Medical Association[Journal]


Unequal Rates of Serious Perioperative Respiratory Adverse Events Between Black and White Children.

J Natl Med Assoc 2019 Apr 16. Epub 2019 Apr 16.

Department of Anesthesiology, Section of Pediatric Anesthesiology, University of Michigan, Ann Arbor, MI, USA.

Background: Recent data among pediatric otolaryngology patients showed unexplained higher rates of serious perioperative respiratory adverse events (PRAE) in black children compared to their white peers. We evaluated whether preoperative respiratory comorbidity (PRC) burden contributes to racial disparity in serious PRAE in children undergoing non-otolaryngologic procedures.

Methods: Rates of serious PRAE (laryngospasm and/or bronchospasm) were compared across racial groups in a retrospective cohort of black and white children (N = 18538; black 10%) who underwent various elective, non-otolaryngologic procedures between 2007 and 2014 at a US tertiary Children's hospital. Read More

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http://dx.doi.org/10.1016/j.jnma.2019.03.006DOI Listing

Black Fathers' Preferences for Sexual Health Interventions with their Adolescent Sons.

J Natl Med Assoc 2019 Apr 4. Epub 2019 Apr 4.

Duke University School of Nursing, USA.

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http://dx.doi.org/10.1016/j.jnma.2019.03.003DOI Listing
April 2019
1 Read

Reducing Reliance on Test Scores Reduces Racial Bias in Neurology Residency Recruitment.

J Natl Med Assoc 2019 Mar 29. Epub 2019 Mar 29.

Duke University Medical Center, Department of Community and Family Medicine, Department of Neurology, Associate Director, Duke University School of Medicine Office of Diversity and Inclusion, DUMC 102003, Durham, NC 27710 USA.

Purpose: We sought to correct a low interview rate for racial groups underrepresented in medicine (URM) by analyzing our interview selection process, identifying sources of unintended bias, and developing a new process that would provide a more racially diverse interview pool.

Methods: We analyzed our review process to determine at which point we were eliminating URM candidates at a higher rate than those who are not from an underrepresented group. A point system was created incorporating clinical grades, extracurricular activities, research, letters of recommendation, board exam scores, and life experiences. Read More

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http://dx.doi.org/10.1016/j.jnma.2019.03.004DOI Listing
March 2019
1 Read

"Girl, just pray …": Factors That Influence Breast and Cervical Cancer Screening Among Black Women in Rochester, MN.

J Natl Med Assoc 2019 Mar 30. Epub 2019 Mar 30.

Mayo Clinic, 200 First Street SW Rochester, 55905, Rochester, MN, USA.

Background: Black women in Minnesota and beyond have a greater burden of death due to some cancers than their White counterparts. Delayed screening and treatment may explain these disparate statistics. The purpose of this study was to work in collaboration with a local Black faith-based organization to gain an updated understanding of Black women's knowledge, attitudes, and behaviors related to breast and cervical cancer, and determine to what extent known factors persist as barriers to accessing cancer screening among Black women in Rochester, MN. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00279684183029
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http://dx.doi.org/10.1016/j.jnma.2019.02.006DOI Listing
March 2019
5 Reads

A Multi-faceted Intervention Aimed at Black-White Disparities in the Treatment of Early Stage Cancers: The ACCURE Pragmatic Quality Improvement trial.

J Natl Med Assoc 2019 Mar 27. Epub 2019 Mar 27.

Biostatistical Support Unit, The Center for Health Promotion and Disease Prevention, The University of North Carolina at Chapel Hill, 1700 Martin Luther King Jr. Boulevard, CB# 7426, Chapel Hill NC 27599, USA.

Background: Reports continue to show that Blacks with curable lung or breast cancer complete treatment less often than similar Whites contributing to worse survival. ACCURE is an intervention trial designed to address this problem.

Patients And Methods: A pragmatic, quality improvement trial comparing an intervention group to retrospective and concurrent controls. Read More

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http://dx.doi.org/10.1016/j.jnma.2019.03.001DOI Listing
March 2019
1 Read

Intra-Scleral Ciliary Sulcus Suprachoroidal Microtube: Making Supraciliary Glaucoma Surgery Affordable.

J Natl Med Assoc 2019 Mar 26. Epub 2019 Mar 26.

Department of Ophthalmology, New York University School of Medicine, NY, USA.

Purpose: The suprachoroidal space (SCS) has been a successful target to lower intraocular pressure (IOP) in glaucoma patients. We present the results of 4 patients who underwent a novel glaucoma surgical procedure to lower IOP: Intrascleral Ciliary Sulcus-Suprachoroidal Microtube.

Methods: A sterile medical grade silicone microtube (Tube extender, New World Medical) was surgically placed to drain aqueous from the posterior chamber ciliary sulcus of the eye to the SCS. Read More

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http://dx.doi.org/10.1016/j.jnma.2019.02.003DOI Listing

Extended Risk Factors for Stroke Prevention.

J Natl Med Assoc 2019 Mar 13. Epub 2019 Mar 13.

Shenzhen Key Laboratory for Anti-aging and Regenerative Medicine, Health Science Center, Shenzhen University, Shenzhen, 518060, China. Electronic address:

Stroke causes disability and high mortality, while it can be prevented by increasing public awareness of risk factors. The common known risk factors are hypertension, atrial fibrillation, heart failure, smoking, alcohol consumption, low physical activity, overweight and hypercholesterolemia. However, the deep understanding of risk factors is limited. Read More

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http://dx.doi.org/10.1016/j.jnma.2019.02.004DOI Listing
March 2019
2 Reads

Driving Miss Evers' Boys to the Historical Tuskegee Study of Untreated Syphilis.

Authors:
Robert M White

J Natl Med Assoc 2019 Mar 7. Epub 2019 Mar 7.

12054 Eaglewood Ct., Silver Spring, MD 20902, USA. Electronic address:

The Tuskegee Study of Untreated Syphilis (TSUS) intersects racial and research ethics discourse in medicine and public health. Miss Evers' Boys is a fictionalized play of the 40-year TSUS. In 2016, the Cultural Programs of the National Academy of Sciences and the Shakespeare Theatre Company in Washington, DC co-sponsored a reading of the play at the National Academy of Sciences Auditorium. Read More

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http://dx.doi.org/10.1016/j.jnma.2019.01.002DOI Listing
March 2019
24 Reads

J. Marion Sims, MD: Why He and His Accomplishments Need to Continue to be Recognized a Commentary and Historical Review.

Authors:
Leonard F Vernon

J Natl Med Assoc 2019 Mar 6. Epub 2019 Mar 6.

Sherman College of Chiropractic Spartanburg, SC, USA. Electronic address:

This review provides a fresh perspective on the work of J. Marion Sims, an Antebellum era physician who invented the vaginally speculum that bears his name. His accent to become the "Father of Modern Gynecology" was his groundbreaking development of the surgical techniques for the repair for vesicovaginal fistula. Read More

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http://dx.doi.org/10.1016/j.jnma.2019.02.002DOI Listing
March 2019
2 Reads

Enhanced Recovery After Surgery (ERAS) Programs for Cesarean Delivery Can Potentially Reduce Healthcare and Racial Disparities.

J Natl Med Assoc 2019 Feb 23. Epub 2019 Feb 23.

New York Presbyterian Hospital - Weill Cornell Medicine, Department of Anesthesiology, 525 East 68th Street, A-1017, New York, NY 10065, USA.

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http://dx.doi.org/10.1016/j.jnma.2019.02.001DOI Listing
February 2019
5 Reads

Colorism Demonstrates Dampened Effects Among Young Black Men Who Have Sex with Men in Chicago.

J Natl Med Assoc 2019 Feb 22. Epub 2019 Feb 22.

Department of Medicine, University of Chicago, Chicago, IL, USA; Chicago Center for HIV Elimination, University of Chicago, Chicago, IL, USA. Electronic address:

Background/purpose: Colorism is a well documented phenomenon affecting the health, income, education, and psychological wellbeing of African Americans with differing skin tones. There is little research, however, around how colorism may operate among intersectional racial sexual minorities, who additionally face both racism and homophobia, despite evidence that different forms of oppression interact with each other and may have modulating effects in this population. This study aims to clarify the effect colorism has on a variety of life and health outcomes in young black men who have sex with men (YBMSM). Read More

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http://dx.doi.org/10.1016/j.jnma.2019.01.011DOI Listing
February 2019
2 Reads

Incidence and risk factors for anemia among newly-diagnosed intestinal Behcet's disease patients.

J Natl Med Assoc 2019 Feb 22. Epub 2019 Feb 22.

Department of Immunology and Rheumatology Division, Fudan University Huadong Hospital, #221 yan'an west Road, Shanghai 200040, PR China.

Background: To investigate the incidence, characteristics, and potential risk factors of anemia in patients with newly-diagnosed intestinal Behcet's disease (BD).

Methods: In this cross-sectional study, 106 newly-diagnosed intestinal BD patients were identified, and a gender-, age- and organ involvement-matched control group of 241 non-intestinal BD patients was established. Hemoglobin (Hb) levels below 120 g/L in women and 130 g/L in men were diagnosed as anemia; these were further classified as mild (Hb ≥ 90 g/L), moderate (60  g/L ≤ Hb < 90  g/L), and severe (Hb < 60 g/L) anemia for both genders. Read More

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http://dx.doi.org/10.1016/j.jnma.2019.01.010DOI Listing
February 2019
4 Reads

A Stochastic Model of Consensus Reaching in Committee Decisions for Faculty Advancement, Promotion and Tenure: Does Diversity Matter?

J Natl Med Assoc 2019 Feb 21. Epub 2019 Feb 21.

Diversity and Outreach, University of California, San Francisco, San Francisco, CA, USA.

Purpose: There are considerable gender and racial disparities in academic promotions regardless of academic qualifications, suggesting bias. The investigators studied the academic promotions process by simulating the work of Advancement, Promotion and Tenure (APT) committees and applying a mathematical model to assess the impact of diversity on consensus reaching.

Method: The study targeted academic faculty during an annual Association of American Medical Colleges (AAMC) meeting. Read More

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http://dx.doi.org/10.1016/j.jnma.2019.01.012DOI Listing
February 2019
4 Reads

Exploring skin color and black-white differences in trust in physicians in a cross-sectional study of U.S. adults.

J Natl Med Assoc 2019 Feb 15. Epub 2019 Feb 15.

Department of Sociology, University of Wisconsin-Milwaukee, Milwaukee, WI 53201, USA. Electronic address:

Background: Research on skin color inequality is growing, but few studies examine the health care context.

Objective: This study explored associations between black and white respondents' skin color and their trust in physicians using the 2012 General Social Survey (n = 1026), which is a national survey of U.S. Read More

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http://dx.doi.org/10.1016/j.jnma.2019.01.009DOI Listing
February 2019
2 Reads

African-Americans with End Stage Renal Disease in the Early Years of Kidney Transplantation.

J Natl Med Assoc 2019 Feb 15. Epub 2019 Feb 15.

Departments of Pediatrics, Medicine and Surgery, MacLean Center for Clinical Medical Ethics, University of Chicago, USA. Electronic address:

Introduction: The first successful kidney transplant in humans was performed in 1954. In the following 25 years, the biomedical, ethical, and social implications of kidney transplantation were widely discussed by both healthcare professionals and the public. Issues relating to race, however, were not commonly addressed, representing a "blind spot" regarding racial disparities in access and health outcomes. Read More

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http://dx.doi.org/10.1016/j.jnma.2019.01.005DOI Listing
February 2019
2 Reads

President's Message.

Authors:
Gabriel Felix

J Natl Med Assoc 2019 Feb;111(1):3-4

President, Student National Medical Association, USA.

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http://dx.doi.org/10.1016/j.jnma.2019.01.008DOI Listing
February 2019
2 Reads

The Same Result.

Authors:
William B Lawson

J Natl Med Assoc 2019 Feb;111(1):1-2

Silver Spring, MD, USA.

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http://dx.doi.org/10.1016/j.jnma.2019.01.007DOI Listing
February 2019
2 Reads

Diversity improves performance and outcomes.

J Natl Med Assoc 2019 Feb 11. Epub 2019 Feb 11.

Florida Atlantic University, 3200 College Ave, Liberal Arts, Room LA.435, Davie, FL 33314, USA. Electronic address:

Background: Research on the effects of increasing workplace diversity has grown substantially. Unfortunately, little is focused on the healthcare industry, leaving organizations to make decisions based on conflicting findings regarding the association of diversity with quality and financial outcomes. To help improve the evidence-based research, this umbrella review summarizes diversity research specific to healthcare. Read More

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http://dx.doi.org/10.1016/j.jnma.2019.01.006DOI Listing
February 2019
2 Reads

The Growing Use of Virtual Reality in Cognitive Rehabilitation: Fact, Fake or Vision? A Scoping Review.

J Natl Med Assoc 2019 Feb 7. Epub 2019 Feb 7.

IRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy. Electronic address:

Objective: This review aims to evaluate the role of Virtual Reality (VR) in cognitive rehabilitation of different neurological diseases, and the accessibility to healthcare systems providing this type of treatment.

Method Of Research: Studies performed between 2003 and 2017 and fulfilling the selected criteria were found on PubMed, Scopus, Cochrane and Web of Sciences databases. The search combined the terms VR rehabilitation with different neurological disease. Read More

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http://dx.doi.org/10.1016/j.jnma.2019.01.003DOI Listing
February 2019
3 Reads

Review of the Captain America Graphic Novel 'TRUTH: Red, White and Black' Focusing on Parallels with the Infamous USPHS Syphilis Study at Tuskegee.

J Natl Med Assoc 2019 Feb 8. Epub 2019 Feb 8.

National Center for Bioethics in Research and Health Care, Tuskegee University, United States.

This review presents the first detailed presentation of the parallelism between the Tuskegee Syphilis Study and the Captain America graphic novel 'TRUTH: Red, White and Black', published as a graphic novel by Marvel Comics in 2004 as a paperback, and then in 2009 as a hardcover. First written, published and distributed monthly in 2003 as pre-sequel seven comic book series to tell the story of the origins of the WWII superhero Captain America. In 2003, Marvel Comics chose to tell a 'very dark story' to explain the origins of Captain America, a half century after the initial introduction of Captain America as a WWII action hero in 1940. Read More

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http://dx.doi.org/10.1016/j.jnma.2019.01.004DOI Listing
February 2019
4 Reads

Prevalence of Parvovirus B19 Infection by Serology and PCR in Pregnant Women Referring to Obstetrics and Gynecology Clinic.

J Natl Med Assoc 2019 Jan 31. Epub 2019 Jan 31.

Department of Infectious Disease, Zanjan University of Medical Sciences, Zanjan, Iran.

Objective: Infection by Primate erythroparvovirus 1, generally known Parvovirus B19, is highly prevalent worldwide. Although infection by this virus will not be clinically problematic in most cases, new infections during pregnancy could result in serious repercussions in the fetus. Serologic and PCR-based methods are among the available approaches for diagnosis of Parvovirus B19 infection. Read More

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http://dx.doi.org/10.1016/j.jnma.2018.12.001DOI Listing
January 2019
5 Reads

Urban Minority Community Safety and its Impact on Physical Activity: The Center for Promoting Health and Health Equity-Racial and Ethnic Approaches to Community Health (CPHHE-REACH) Initiative.

J Natl Med Assoc 2019 Jan 30. Epub 2019 Jan 30.

Creighton University School of Medicine Center for Promoting Health and Health Equity (CPHHE), Racial and Ethnic Approaches to Community Health (REACH) Grant, School of Medicine, USA.

Background/purpose: Daily physical activity is known to improve personal health and well-being and can often be influenced by one's living environment. A qualitative secondary data analysis of a focus group study, performed by the Creighton University Center for Promoting Health and Health Equity (CPHHE) - Racial and Ethnic Approaches to Community Health (REACH), assesses behavioral changes in individuals who participated in newly established physical activities in faith-based organizations, local residential towers, and the local community health center.

Method: Applying thematic analysis within the Health Belief Model framework, the investigators further investigated the relationships between its constructs and levels of physical activity in urban minority neighborhoods. Read More

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http://dx.doi.org/10.1016/j.jnma.2019.01.001DOI Listing
January 2019
2 Reads

Aortic Stenosis in African Americans: Focus On Disparities in Treatment and Outcomes.

J Natl Med Assoc 2018 Dec 24. Epub 2018 Dec 24.

University of Tennessee Health Science Center, Memphis, TN, USA.

Aortic stenosis (AS) is the third most common type of cardiovascular disease after hypertension and coronary artery disease, and it carries a high mortality rate when left untreated. Risk factors include male sex, hypertension, tobacco use, advanced age, elevated LDL cholesterol, and coronary atherosclerosis. Definitive treatment for AS includes valve repair, either percutaneously or surgically; however, in aging populations corrective surgery carries increased risk. Read More

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http://dx.doi.org/10.1016/j.jnma.2018.11.004DOI Listing
December 2018
2 Reads

Osteogenic Potential of Porous Titanium. An Experimental Study in Sheep.

J Natl Med Assoc 2018 Dec 21. Epub 2018 Dec 21.

Department of Stomatology, Faculty of Dental Medicine, Stavropol State Medical University, Russian Federation; Periodontology, School of Dental Medicine, Faculty of Health, Witten/Herdecke University, Germany; Praxisteam Hasslinghausen, Germany. Electronic address:

The search for osteoinductive as well as osteoconductive materials has led to the novel idea of using titanium in bone augmentations of the alveolar crest. Due to its excellent biocompatibility and favorable osteogenic properties, highly porous TiO granules has been proposed as a promising material for non-resorbable synthetic bone grafts in the restoration of large bone defects, and for bone augmentation in dental applications.

Objectives: The aim of this study was to investigate the osteoconductive properties and biological performance of porous titanium granules used in osseous defects adjacent to the maxillary sinus in sheep. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00279684173006
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http://dx.doi.org/10.1016/j.jnma.2018.11.003DOI Listing
December 2018
3 Reads

Association Between Executive Dysfunction and Instrumental Activities of Daily Living: Racial and Ethnic Differences Among Community-Dwelling Older Adults in the Southeastern US.

J Natl Med Assoc 2018 Dec 4. Epub 2018 Dec 4.

The George Washington School of Medicine and Health Sciences, Washington, DC, USA.

Objective: Examining cultural differences in assessment of cognitive/functional disability among older Americans is needed. This analysis examined associations between day-to-day function, measured by activities of daily living (ADL), and cognition, measured by CLOX scores, among older African American (AA) and non-Hispanic White (nHW) community-dwelling women and men.

Methods: Design- Cross-sectional. Read More

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http://dx.doi.org/10.1016/j.jnma.2018.11.002DOI Listing
December 2018
3 Reads

Strengthening the postpartum transition of care to address racial disparities in maternal health.

J Natl Med Assoc 2018 Nov 29. Epub 2018 Nov 29.

Section of General Internal Medicine, Boston University Schools of Medicine and Public Health, Boston Medical Center, Boston, MA, USA.

Maternal morbidity and mortality, important indicators of healthcare quality both nationally and internationally, have gained increasing public attention in the United States (U.S.). Read More

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http://dx.doi.org/10.1016/j.jnma.2018.10.016DOI Listing
November 2018
2 Reads

African-American sexual minority adolescents and sexual health disparities: An exploratory cross-sectional study.

J Natl Med Assoc 2018 Dec 1. Epub 2018 Dec 1.

Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University Providence, RI, 02912, USA; Centers for Behavioral and Preventive Medicine, The Miriam Hospital, 164 Summit Avenue, Coro East, Suite 309, Providence, RI, 02903, USA; Department of Behavioral and Social Sciences, Brown University, Providence, RI, 02903, USA.

Purpose: To better understand sexual health disparities among African-American sexual minority adolescents.

Methods: African-American adolescents (N = 1120; mean age = 15.24 years) were recruited from 4 cities (Columbia, SC; Macon, GA; Providence, RI; Syracuse, NY) to a larger trial. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00279684183008
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http://dx.doi.org/10.1016/j.jnma.2018.11.001DOI Listing
December 2018
12 Reads

Evaluating a Media Strategy to Provide Health Messages to Medically Underserved Populations.

J Natl Med Assoc 2018 Nov 22. Epub 2018 Nov 22.

College of Nursing, Medical University of South Carolina, Charleston, SC 29425, USA.

For nearly every category of chronic disease, blacks with African American ancestry (AAs) bear a disproportionate disease burden in comparison to their non-Hispanic white (NHW) counterparts. The purpose of this study was to evaluate perceptions of a radio-based health communication strategy, geared towards AA adults and the medically underserved. The radio broadcast, titled "Closing the Gap in Healthcare, Inc. Read More

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http://dx.doi.org/10.1016/j.jnma.2018.10.002DOI Listing
November 2018
19 Reads

Association between Foot Care Knowledge and Practices among African Americans with Type 2 Diabetes: An Exploratory Pilot Study.

J Natl Med Assoc 2018 Nov 16. Epub 2018 Nov 16.

Texas A&M University, Department of Health and Kinesiology; College Station, TX, USA.

Objectives: African Americans bear a disproportionate burden of lower extremity complications associated with a type 2 diabetes diagnosis. We examined the relationship that self-reported foot care knowledge, foot self-care behaviors, and foot self-care management barriers had on a participants' intention to maintain long term foot self-care.

Methods: African Americans were recruited using a convenience and snowball sampling plan, as well as telephone, email and flyers detailing the study. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00279684173008
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http://dx.doi.org/10.1016/j.jnma.2018.10.004DOI Listing
November 2018
14 Reads

Long-term Outcomes for Teen Mothers Who Participated in a Mentoring Program to Prevent Repeat Teen Pregnancy.

J Natl Med Assoc 2018 Nov 15. Epub 2018 Nov 15.

University of Pittsburgh School of Medicine, Department of Family Medicine, 4420 Bayard Street, Suite 520, Pittsburgh, PA 15260, USA.

Background: Each year in the United States (US), one million adolescents are pregnant, of which approximately 20% are repeat pregnancies. Adolescent motherhood is associated with lower educational attainment, socioeconomic status and poorer health outcomes. A mentoring program called the Maikuru Program conducted from 2011 to 2015, was designed to teach young mothers under 20 years old how to face daily life challenges, to support them by pairing them with an adult mentor, and prevent a subsequent pregnancy during their teens. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00279684183016
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http://dx.doi.org/10.1016/j.jnma.2018.10.014DOI Listing
November 2018
21 Reads

President Message.

J Natl Med Assoc 2018 Dec;110(6):531-532

The National Medical Association, 116(th) NMA Annual Convention and Scientific Assembly, Orlando, FL, USA.

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http://dx.doi.org/10.1016/j.jnma.2018.10.015DOI Listing
December 2018
3 Reads

The one hundredth and tenth anniversary.

Authors:
William B Lawson

J Natl Med Assoc 2018 Dec;110(6):529-530

Silver Spring, MD, USA.

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http://dx.doi.org/10.1016/j.jnma.2018.10.017DOI Listing
December 2018
2 Reads

Source of Education, Source of Care, Access to Glucometers, and Independent Correlates of Diabetes Knowledge in Ethiopian Adults with Diabetes.

J Natl Med Assoc 2018 Nov 12. Epub 2018 Nov 12.

Department of Medicine, Division of General Internal Medicine, Froedtert and The Medical College of Wisconsin, 9200 W. Wisconsin Ave, Milwaukee, Wisconsin 53226, USA; Center for Advancing Population Science, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, Wisconsin 53226, USA. Electronic address:

Background: Knowledge, self-care and access to diabetes-related resources is critical to diabetes management. However, there is paucity of data on source of education, source of care, and access to diabetes-related resources in the developing world, including Ethiopia.

Objective: To examine source of education, source of care, access to diabetes-related resources, and correlates of diabetes knowledge in a random sample of adults with diabetes in Ethiopia. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00279684173032
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http://dx.doi.org/10.1016/j.jnma.2018.10.008DOI Listing
November 2018
13 Reads

Cluster Enrollment: A Screening Tool for Stroke Risk Factors in Minority Women Caregivers.

J Natl Med Assoc 2018 Nov 12. Epub 2018 Nov 12.

Department of Neurology and Institute for Stroke and Cerebrovascular Disease, McGovern Medical School at UTHealth, Houston, TX, USA.

Background And Purpose: Women minorities have an overall increased lifetime incidence of cerebrovascular disease. The provision of risk factor modification in this group can prove difficult. In a population-based study, we used cluster enrollment to identify vascular risk factors in the female caregivers of stroke survivor study participants. Read More

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http://dx.doi.org/10.1016/j.jnma.2018.10.013DOI Listing
November 2018
2 Reads

Depression and African Americans in the First Decade of Midlife: The Consequences of Social Roles and Gender.

J Natl Med Assoc 2018 Nov 10. Epub 2018 Nov 10.

Department of Sociology & Criminology, University of Arkansas, Fayetteville, AR 72701, USA.

Objective: This study examined gender differences in how three social roles - marriage, parenthood, and employment - impact depressive symptoms and clinically significant depression for African Americans in the first decade of midlife, from 40 to 50 years old. Specifically, we sought to understand the associations between roles configurations (e.g. Read More

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http://dx.doi.org/10.1016/j.jnma.2018.10.012DOI Listing
November 2018
2 Reads

"They were just waiting to die": Somali Bantu and Karen Experiences with Cancer Screening Pre- and Post-Resettlement in Buffalo, NY.

J Natl Med Assoc 2018 Nov 9. Epub 2018 Nov 9.

Department of Family Medicine, Jacobs School of Medicine & Biomedical Sciences, University of Buffalo, 77 Goodell Street, Suite 220D, Buffalo, NY, 14203, USA.

Background: Little is known about how pre-resettlement experiences affect refugees' uptake of cancer screenings. The objective of this study was to characterize Somali Bantu and Karen experiences with cancer and cancer screenings prior to and subsequent to resettlement in Buffalo, NY in order to inform engagement by health providers.

Methods: The study was grounded in a community-based participatory research approach, with data collection and analysis guided by the Health Belief Model and life course framework. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00279684183009
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http://dx.doi.org/10.1016/j.jnma.2018.10.006DOI Listing
November 2018
25 Reads

Is initial optic nerve sheath diameter prognostic of specific head injury in emergency departments?

J Natl Med Assoc 2018 Nov 8. Epub 2018 Nov 8.

Ankara Numune Education and Research Hospital; Department of Neurosurgery, Ankara, Turkey.

Background: Emergency departments (EDs) are typically the first medical contact for patients with traumatic brain injury (TBI) and early diagnosis and treatment of intracranial pressure (ICP) in patients with neurotrauma primarily falls under the liability of emergency doctors. Monitoring ICP with optic nerve sheath diameter (ONSD) via tools has gained popularity among emergency service doctors. In this study, we aimed to evaluate the predictive value of ONSD for specific head injury on initial cranial tomography. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00279684183020
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http://dx.doi.org/10.1016/j.jnma.2018.10.009DOI Listing
November 2018
13 Reads

Prostate Cancer Screening Guidelines for African American Veterans: A New Perspective.

J Natl Med Assoc 2018 Nov 5. Epub 2018 Nov 5.

UMMC Radiation Oncology, 2500 N State St, Jackson, MS 39216, USA. Electronic address:

Background: Prostate cancer is the most common form of cancer, other than skin cancers, in American men and the second leading cause of cancer deaths. In 2012, the US Preventative Task Force recommended against the prostate specific antigen-based screening for prostate cancer, regardless of race or age, due to overtreatment of low-risk disease and lack of impact on disease outcomes. In African-American men, however, the incidence of prostate cancer is almost 60% higher and the mortality rate is two- to three-times greater than that of Caucasian men. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00279684183028
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http://dx.doi.org/10.1016/j.jnma.2018.10.010DOI Listing
November 2018
14 Reads

A Contemporary Analysis of Outcomes and Modifiable Risk Factors of Ethnic Disparities in Kidney Transplantation.

J Natl Med Assoc 2018 Nov 5. Epub 2018 Nov 5.

Department of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address:

Objective: The aim of this study was to provide a contemporary analysis of longitudinal kidney transplant outcomes and to evaluate potential causes of ethnic disparities among African American (AA) and Caucasian American (CA) patients undergoing kidney transplantation at our institution.

Patients And Methods: 1400 patients were identified who underwent kidney transplantation from 2003 to 2013 from a large, academic institution in Cleveland, OH. Relevant recipient and donor demographic and clinical covariates were obtained from an institutional transplant database. Read More

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http://dx.doi.org/10.1016/j.jnma.2018.10.011DOI Listing
November 2018
19 Reads

Order in The Court? The Association Between Substance Use, Exposure to Violence, Risky Sexual Behaviors & Observed Court Behaviors Among Women Involved in the Criminal Justice System.

J Natl Med Assoc 2018 Nov 5. Epub 2018 Nov 5.

Department of Epidemiology, University of Florida, Gainesville, FL, USA.

Drug courts, therapeutic justice programs for individuals charged with drug offenses, have sub-optimal completion rates. The Courtroom Behavior Checklist (CRBCL), an assessment that quantifies readiness for drug court and drug court behaviors, was developed to predict female offenders who may be at-risk for non-compliance and termination. Data derived from 264 mainly urban women recruited from a Municipal Drug Court System in St. Read More

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http://dx.doi.org/10.1016/j.jnma.2018.10.007DOI Listing
November 2018
9 Reads

Do Anti-TNF Agents Increase the Risk of Inflammatory Bowel Disease Evolution in Patients with Ankylosing Spondylitis? Real Life Data.

J Natl Med Assoc 2018 Oct 30. Epub 2018 Oct 30.

Division of Rheumatology, Department of Internal Medicine, Eskişehir Osmangazi University, Eskişehir, Turkey.

Objective: The aim of this study was to determine whether there is any association with anti-tumor necrosis factor (TNF) agent administration and development of new-onset inflammatory bowel disease (IBD) in ankylosing spondylitis (AS) patients.

Methods: Records of the patients who met 1984 modified New York criteria for AS between 1998 and 2016 at Rheumatology Department were evaluated retrospectively and data about the patients, IBD properties and medication were obtained.

Results: Among 420 patients, 310 were male, the average age was 42. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00279684173015
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http://dx.doi.org/10.1016/j.jnma.2018.10.003DOI Listing
October 2018
14 Reads

Race and Time to Receipt of Androgen Deprivation Therapy Among Men With Metastatic Prostate Cancer.

J Natl Med Assoc 2018 Oct 30. Epub 2018 Oct 30.

Evidera, Real-World Evidence, 500 Totten Pond Road, Waltham, MA 02451, USA.

Background: The Medicare Modernization Act (MMA) drastically reduced reimbursement for androgen deprivation therapy (ADT) in 2005. One unintended consequence of the MMA may be an increase in the racial disparities in receipt of ADT. Given these policy changes, it becomes increasingly important to assess racial disparities in timely receipt of ADT. Read More

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http://dx.doi.org/10.1016/j.jnma.2018.10.005DOI Listing
October 2018
3 Reads

Public Attitudes and Knowledge About Youth Sports Participation and Concussion Risk in an Urban Area.

J Natl Med Assoc 2018 Dec 28;110(6):635-643. Epub 2018 Oct 28.

Department of Pediatrics, University of Chicago, 5841 S Maryland Ave, Chicago, IL, 60637, USA; MacLean Center for Clinical Medical Ethics, University of Chicago, 5841 S Maryland Ave, Chicago, IL, 60637, USA. Electronic address:

Background: Every year, millions of children in the United States participate in youth full-contact sports, which carry concussion risks-the long-term sequelae of which are not well understood. We examined the attitudes and knowledge of adults in Chicago about youth sports participation, concussion risk, and whether physicians should counsel against youth participation in full-contact sports.

Methods: An anonymous paper survey featuring 13 attitudinal, 13 demographic, and 9 knowledge questions was distributed to a convenience sample of adults ≥18 years in hospital waiting areas and four Chicago parks. Read More

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http://dx.doi.org/10.1016/j.jnma.2018.10.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6226021PMC
December 2018
5 Reads

Protective Propensity of Race or Environmental Features in the Development of Barrett's Esophagus in African Americans - A Single Center Pilot Study.

J Natl Med Assoc 2018 Oct 23. Epub 2018 Oct 23.

Division of Gastroenterology, University of Florida/Jacksonville, Jacksonville, FL, USA; Division of Gastroenterology and Hepatology, Augusta University-Medical College of Georgia, Augusta, GA. Electronic address:

Background And Study Aims: Barrett's Esophagus (BE) is a well-recognized pre-malignant condition. Previous data indicate histologically confirmed BE frequency varies by ethnicity in the United States. However, clinical factor assessment to explain this has only occurred in a veteran population to date. Read More

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http://dx.doi.org/10.1016/j.jnma.2018.09.008DOI Listing
October 2018
9 Reads

A Community-Based Study of Giving ACTS: Organ Donation Education for African American Adults.

J Natl Med Assoc 2018 Oct 13. Epub 2018 Oct 13.

Department of Behavioral Sciences & Health Education, Rollins School of Public Health, Atlanta, GA, USA.

Background: Transplantation continues to be the therapy of choice for people experiencing end-stage organ failure. African Americans (AAs) are overrepresented among those awaiting an available organ for the purpose of a transplant, yet donate at rates lower than other races due to a list of well-studied barriers. The Giving ACTS (About Choices in Transplantation and Sharing) Intervention was developed to provide culturally appropriate messaging to AAs about organ and tissue donation and transplantation (OTDT). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00279684183023
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http://dx.doi.org/10.1016/j.jnma.2018.09.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462257PMC
October 2018
13 Reads

High Blood Pressure Guidelines Editorial HBP.

J Natl Med Assoc 2018 Dec 13;110(6):533. Epub 2018 Oct 13.

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http://dx.doi.org/10.1016/j.jnma.2018.09.007DOI Listing
December 2018
3 Reads

Recognition and Treatment of Sleep-disordered Breathing in Obese African American Hospitalized Patients may Improve Outcome.

J Natl Med Assoc 2018 Oct 9. Epub 2018 Oct 9.

Department of Internal Medicine and the Division of Pulmonary, Allergy and Sleep Medicine, Albert Einstein Medical Center, Sidney Kimmel Medical College, Philadelphia, PA, USA. Electronic address:

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. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00279684183024
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http://dx.doi.org/10.1016/j.jnma.2018.09.003DOI Listing
October 2018
15 Reads

Improving Uptake of Hydroxyurea in Patients with Sickle Cell Disease: A Retrospective Study of a Clinic-based Change in Consenting Practices.

J Natl Med Assoc 2018 Oct 9. Epub 2018 Oct 9.

Kent State University, 144 Kent Hall, Kent, OH 44242, USA.

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. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00279684183002
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http://dx.doi.org/10.1016/j.jnma.2018.09.004DOI Listing
October 2018
7 Reads

Leaving the light on illuminating the NMA path to health equity - Past, present and future.

J Natl Med Assoc 2018 Oct;110(5):418-420

The National Medical Association, 116(th) NMA Annual Convention and Scientific Assembly, Orlando, FL, USA.

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http://dx.doi.org/10.1016/j.jnma.2018.09.002DOI Listing
October 2018
3 Reads