Journal of the National Medical Association back issues from August 2003:
Status of women's health in the democratic republic of the Congo; global women's health issues
Aug 01, 2003; ... This presentation will be a review of studies done over the last two years at the Kinshasa University Clinics, particularly by the Departments of Obstetric/ Gynecology and Internal Medicine, as well as at the Kinshasa School of Public Health. In addition, ...
Targeted cryoablation of prostate cancer (TCAP) as definitive treatment in high-risk patients with locally advanced disease
Aug 01, 2003; ... UROLOGY Objectives: Prostate cryoablation has emerged as a viable therapeutic option in the management of prostate cancer (CaP). It provides a long-term, durable response in regard to cancer control and is associated with an overall lower morbidity rate, compared to radical surgery and ...
Obesity interventions: Black Women's Wellness Study Project
Aug 01, 2003; ... U.S. black women are at excess risk of obesity and its cardiovascular consequences, but current weight management approaches have limited applicability to black women. Weight gain prevention among black women has not been formally studied. The goal of the Black Women's Wellness Study (BWWS) was ...
Update in breast cancer screening
Aug 01, 2003; ... Breast cancer is the most common non-skin cancer and the second leading cause of cancer deaths in women. Over 200,000 women will develop and 40,000 deaths will occur from breast cancer in the U.S. each year. Because of the large disease burden, there have been more randomized controlled trials ...
Calcium in weight management
Aug 01, 2003; ... WOMEN'S HEALTH Calcium intake, once thought to be essential mainly for bone health, is now recognized to be involved in many body systems and to play a role in the prevention of several chronic diseases. This latter role of calcium comes about because physiological adaptation to ...
Epidemiology of obesity
Aug 01, 2003; ... Obesity is defined as a body mass index (BMI; weight in kilograms divided by the square of height in meters) of 30 kg/m^sup 2^ or more, with a BMI between 25 and 30 kg/m^sup 2^ indicating a "pre-obese" or "overweight" state. These cutoffs are used clinically to identify individuals who may need ...
Bronchoscopy and ventilator associated pneumonia in the SICU
Aug 01, 2003; ... SURGERY Background: Bronchoscopy is a commonly used bedside procedure in surgical intensive care units. However, bronchoscopy's efficacy in the diagnosis and management of ventilator-associated pneumonia (VAP) is not established. Materials and Methods: Retrospective analysis of ...
Hybrid PET-CT simulation in radiation treatment planning for head and neck cancers
Aug 01, 2003; ... Background: Target and normal tissue delineation is the hallmark of image-guided radiotherapy (RT). While providing general anatomic details, the limitation of CT and MRI imaging modalities can quickly become apparent in a previously irradiated or surgically violated neck. Positron Emission ...
Transient ischemic attack (TIA) symptoms caused by costoclavicular venous compression in patients with thoracic outlet syndrome (TOS): MRI/MRA
Aug 01, 2003; ... Poster submission Transient ischemic attack (TIA), usually thought of as a sudden focal loss of neurological function with complete recovery usually with 24 hours, is caused by a brief period of inadequate perfusion of the brain in the territories of carotid and vertebral basilar ...
Urgent diagnosis: Imaging of infants and children with surgical emergencies
Aug 01, 2003; ... The surgeon and radiologist often work in tandem to quickly arrive at a diagnosis in the child with a suspected surgical emergency. Improvements in diagnostic imaging and radiologic-assisted treatment of congenital disorders have resulted in a change in pediatric surgical practice. Expertise in ...
The role of bicuspid valves in costoclavicular venous compression in patients with thoracic outlet syndrome (TOS)
Aug 01, 2003; ... Poster submission The circulatory system is a closed system. Compression of any peripheral vein decreases venous return, and increases intrathoracic, intra-abdominal, and intracranial pressures. Veins contain bicuspid valves along their course to assist and direct blood flow, and divert ...
A method for the implementation of a community-based prostate cancer with combined external beam radiation therapy and radioactive seed implant program-the brown model
Aug 01, 2003; ... In the United States, despite the fact that life expectancy continues to increase, African-American men are disproportionately affected by prostate cancer. In fact, unless there is a prevention breakthrough (e.g., vaccine), prostatic cancer will remain a leading cause of cancer morbidity and ...
Cervical spine fusion compromises the brachial plexus in thoracic outlet syndrome (TOS): MRI, MRA, MRV
Aug 01, 2003; ... Poster submission Bilateral multiplanar magnetic resonance imaging and 2D Time of Flight magnetic resonance angiography (MRA/MRV) of the brachial plexus display costoclavicular compression of the draining veins within the neck, supraclavicular fossae, and neurovascular bundles as the ...
Urinary bladder neoplasms
Aug 01, 2003; ... Tumors of the urinary bladder include neoplasms of virtually all types of tissue derivation. These include a variety of benign and malignant, epithelial and non-epithelial neoplasms, and other miscellaneous tumors and tumor-like lesions. A brief review of these ...
Bilateral magnetic resonance imaging (MRI) and two-dimensional time of flight (2D-TOF) magnetic resonance angiography and venography (MRA/MRV) in compression abnormalities of the brachial plexus
Aug 01, 2003; ... Poster submission Monitored bilateral magnetic resonance imaging (MRI) displays soft tissue anatomic detail and alteration of fascial planes by proton distribution, and provides high-resolution imaging of nerves, arteries, veins, and lymphatics-which supply the brachial plexus. The ...
Basic principles of cardiac magnetic resonance imaging (MRI)
Aug 01, 2003; ... RADIOLOGY Objective: Provide a basic technical overview on Cardiac MRI. The overview will consist of a review of basic anatomy of the heart. The participants will review the normal MRI anatomy of the heart, as well as some of the common diseases of the heart that can be evaluated using ...
Botox injections into the scalene triangle compromise thoracic outlet syndrome (TOS) patients as displayed by MRI, MRA, MRV
Aug 01, 2003; ... Poster submission Bilateral multiplanar magnetic resonance imaging and 2D Time of Flight magnetic resonance angiography (MRA/MRV) of the brachial plexus display costoclavicular compression of the draining veins within the neck, supraclavicular fossae, and neurovascular bundles as the ...
Unusual presentation of patient with congenital megacolon
Aug 01, 2003; ... PEDIATRICS Adequate oral intake (100 cals/kg/day) and normal bowel movements were documented of a sixweek-old product of a full-term uncomplicated pregnancy, presented with poor weight gain, and hypoalbuminemia (1.4 gm/dl). Stools were occult positive for blood. A diagnosis of milk ...
Testicular tumors
Aug 01, 2003; ... The overwhelming majority of primary testicular tumors are of germ-cell origin. The histogenetic relationship among the various morphologic types of germ-cell tumors has been a matter of continued interest and controversy. Recent studies support that seminoma may act as a common precursor ...
Anaplastic large cell lymphoma
Aug 01, 2003; ... Anaplastic large cell lymphoma is characterized by a distinctive morphology as well as specific genetic abnormalities and immunohistochemical profile. There are however, pathologic and clinical variants, which may lead to some ...
Mixed malignant neuroendocrine tumor and adenocarcinoma (mixed carcinoid-adenocarcinoma) of the duodenum
Aug 01, 2003; ... A variant of mixed carcinoid-adenocarcinoma has been described. This variant may help to explain and clarify the controversy regarding the biologic behavior of adenocarcinoids. A follow-up study of a group of patients with pure goblet cell carcinoids (adenocarcinoids) and those with mixed ...
Fine needle aspiration of the pancreas
Aug 01, 2003; ... Fine-needle aspiration (FNA) is frequently the diagnostic method of choice in institutions with experienced interventional radiologist and cytopathologists. The advantages of FNAs are that they may be performed percutaneously; the thin needle penetrates deeply into the organ with relative ease ...
Premalignant and malignant epithelial lesions of the penis
Aug 01, 2003; ... Carcinoma of the penis comprises less then 1% of all malignant male neoplasms in the U.S. Squamous-cell carcinoma of the usual type accounts for the majority of all cases; however, verrucous carcinoma comprises 5% of the cases. Yet, in our patient population we have noticed an increase in the ...
Fine needle aspiration of a mediastinal mass
Aug 01, 2003; ... Numerous non-neoplastic and neoplastic lesions have been identified in the relatively small confines of the mediastinum. Such lesions are of epithelial, lymphoid, mesenchymal, and germ cell origin. The use of minimally invasive techniques to obtain tissue samples form this group of lesions ...
Adenocarcinoma of small bowel report of two cases and review of the literature
Aug 01, 2003; ... PATHOLOGY Adenocarcinoma of the small bowel is 40-60 times less common than adenocarcinoma of the large bowel. Most patients are elderly, and there is no sex predilection. Approximately 40% to 50% of the cases occur in the duodenum. At the time of diagnosis, the majority of the tumors ...
Normal tension glaucoma: The glaucomatologist's perspective
Aug 01, 2003; ... Many neuro-ophthalmologic disorders mimic normal pressure glaucoma by virtue of similar disc appearance and/or visual field defects. The features suggestive of neuro-ophthalmologic disease ...
Surgical approach to pterygium excision and conjunctival autograft that prevents recurrence and graft failure
Aug 01, 2003; ... Purpose: To assess the success rate of excising primary and recurrent pterygia with conjunctival autograft using a careful surgical approach to minimize inflammation and reduce pterygium recurrence. Materials and Methods: This is a longitudinal consecutive case series of primary and ...
Selective laser therapy for open angle glaucoma
Aug 01, 2003; ... Laser trabeculoplasty has been successfully used for treating glaucoma for over 20 years. Modifications to the technique have been relatively minor. Argon and diode lasers are the current instruments commonly available for the procedure. In the U.S. this year, the FDA has released another ...
Normal tension glaucoma: The neuro-ophthalmologist's perspective
Aug 01, 2003; ... Many neuro-ophthalmologic disorders mimic normal pressure glaucoma by virtue of similar disc appearance and/or visual field defects. The features suggestive of neuro-ophthalmologic disease ...
Vascular findings in glaucoma
Aug 01, 2003; ... Investigations over the last quarter century have provided extensive evidence that vascular factors contribute to the pathogenesis of glaucoma. Technologies have been developed that evaluate the circulation in the various vascular beds that supply the eye, and these techniques have been applied ...
Intraocular lenses (IOL) versus contact lenses (CL) in the treatment of pediatric cataracts
Aug 01, 2003; ... Purpose: There is very little data comparing different treatment modalities for children who have cataracts removed during the first few years of life. Children that cannot have clear retinal images formed as a result of cataracts and aphakia (lack of a crystalline lens) are at high risk for ...
Hamlet meets NAION (nonarteritic anterior ischemic optic neuropathy): "To sleep or not to sleep"
Aug 01, 2003; ... Hamlet's third soliloquy, written by William Shakespeare in approximately 1602, can be likened to NAION (nonarteritic anterior ischemic optic neuropathy). "To be, or not to be: that is the question ... To die-to sleep, To sleep-perchance to dream: ay, there's the rub!" NAION is the most common ...
Effect of posture on blood and intraocular pressures in autonomic failure
Aug 01, 2003; ... Purpose: Intraocular pressure may be under systemic vascular control. This study sought to determine if patients with autonomic dysfunction have significant changes in intraocular pressure as position changes to suggest any correlation between blood and intraocular pressures. Materials ...
GLT, FFSS, AGIS, OHTS, CIGTS, EMGT: The alphabet soup of glaucoma and its importance to our patients
Aug 01, 2003; ... Importance of intraocular pressure reduction in the management of glaucoma patients was challenged by medical economists in the mid 1980s. Since then, six major NEI-supported clinical trials have been completed that not only reaffirm the importance of managing intraocular pressure but have ...
Importance of gonioscopy in glaucoma
Aug 01, 2003; ... Glaucoma is a multifactorial optic neuropathy characterized by optic nerve excavation and loss of retinal ganglion cells leading to permanent visual field loss. This disease is sensitive to intraocular pressure reduction via trabecular meshwork outflow. In most patients with glaucoma, there is ...
Genistein retards the formation of x-ray induced cataract in the rat
Aug 01, 2003; ... Background: The leading cause of blindness worldwide is age-related cataracts. Cataract extraction is the most frequent surgery performed in the U.S. on people 65 or older, with annual associated costs to Medicare of $3.2 billion. The medical, financial, and social importance of cataracts will ...
Comparison of the GDX. and GDx Access
Aug 01, 2003; ... Purpose: Given the improved portability and decreased cost of GDx Access, the main objective was to evaluate the clinical utility of GDx Access compared to GDX® (Laser Diagnostic Technologies, Inc., San Diego, CA) for determination of glaucoma. Materials and Methods: Following informed ...
Workup and management of amenorrhea
Aug 01, 2003; ... Amenorrhea is a common problem affecting women throughout the reproductive lifespan. A thorough evaluation, including extensive history, physical exam and laboratory studies, will discover the etiology in most cases. This presentation will discuss evaluation of both primary and secondary ...
Assessment and comparison of knowledge regarding eye care among primary care residents
Aug 01, 2003; ... OPHTHALMOLOGY Supported in part by Research to Prevent Blindness Damon Robinson, MD; Eve Higginbotham, MD; Gary Tanguilig, MD; Kendall Hershler, MD. Baltimore, MD Purpose: The primary care physician plays an important role in the identification and timely referral of ...
Reducing perinatal transmission of HIV with emphasis on women of color
Aug 01, 2003; ... OBSTETRICS AND GYNECOLOGY Since 1985, the reported AIDS cases among adult and adolescent women have tripled, from 7% in 1985 to 25% in 1999. The most dramatic increase in HIV (this once "gay-related" disease which has transformed into a medical genocide) was noted among women of color ....
Prevalence of osteoporotic fractures in people of color
Aug 01, 2003; ... Osteoporotic fractures cost at least $15 billion per year in the U.S. We are unable to find any data in the literature on the rate of osteoporotic fractures in people of color. We retrospectively reviewed data in an urban tertiary care teaching hospital where 95% of the patients are non-white ...
Binocular indirect panretinal laser photocoagulation for the treatment of proliferative diabetic retinopathy: A retrospective study
Aug 01, 2003; ... Purpose: This is a noncomparative, consecutive, interventional case series that evaluates the efficacy of binocular indirect laser photocoagulation in eyes with severe preproliferative and proliferative diabetic retinopathy and in eyes undergoing pars plana vitrectomy for proliferative diabetic ...
A simplified approach for evaluating and treating vaginal agenesis
Aug 01, 2003; ... The evaluation and management of amenorrhea with associated vaginal agenesis in adolescents and young adult women can be confusing for many clinicians. The differential diagnosis of imperforate hymen, mullerian agenesis, and androgen insensitivity syndrome must be considered and evaluated ...
Does H. pylori infection affect GERD severity and its response to proton pump inhibitor therapy?
Aug 01, 2003; ... Supported by a grant from AstraZeneca LP. Wayne, PA Nimish B. Vakil, MD;1 Seth Zuckerman, MS;2 Kathleen A. Spree, DO.3 1Milwaukee, WI;2,3 Wayne, PA Purpose: While the role of H. pylori (Hp) in peptic ulcer disease and gastritis is well-established, there is debate as to whether ...
Heartburn severity does not predict disease severity in gastroesophageal reflux patients with erosive esophagitis
Aug 01, 2003; ... Supported by a grant from AstraZeneca LP. Wayne, PA M. Brian Fennerty, MD;1 Seth Zuckerman, MS;2 Kathleen A. Spreen, DO.3 1Portland, OR; 2,3Wayne, PA Purpose: In primary care, drug treatment is often initiated for patients presenting with symptoms of uncomplicated ...
Hyperinsulinism: The incredible growing baby
Aug 01, 2003; ... Hyperinsulinism is a disorder defined by insulin concentrations >5 mU/mL during episodes of hypoglycemia. Although rare for this state to persist beyond the neonatal period, when it occurs, the condition is known as nesidioblastosis or persistent hyperinsulinemia hypoglycemia of the newborn ....
Hospice-what you and your patient need to know
Aug 01, 2003; ... The presentation will cover varying aspects of the Medicare entitlement benefit for hospice. Areas to be covered include levels of care and how they are reimbursed. Reimbursements for physician and consultant services will be addressed. One of the issues that contributes ...
Anemia in pregnancy and race in America
Aug 01, 2003; ... FAMILY PRACTICE Introduction: The purpose of this study was to compare racial differences in prevalence of anemia in pregnancy (AIP) in North America. Materials and Methods: This study was based on U.S. natality data files (1995 through 2000) and comprised 23,654,695 live births ....
Bone density in urban non-white physicians
Aug 01, 2003; ... INTERNAL MEDICINE To determine if non-white physicians are at increased risk for the development of osteoporosis, dual-energy x-ray absorptiometry was done on 92 urban staff physicians, ages 20-87. African-Americans (n=33), Africans (n=16), Asians (n=30), Caribbeans (n=1), and Latinos ...
Impact of age on the severity of erosive esophagitis in patients with gastroesophageal reflux disease
Aug 01, 2003; ... Supported by a grant from AstraZeneca LP. Wayne, PA David A. Johnson, MD;1 Seth Zuckerman, MS;2 Kathleen A. Spreen, DO.3 1Norfolk, VA; 2,3Wayne, PA Purpose: In patients with gastroesophageal reflux disease (GERD), the incidence of esophageal stricture, Barrett's esophagus, and ...
Blueprint for violence prevention Functional Family Therapy (FFT)
Aug 01, 2003; ... The FFT program in Philadelphia Commission on Crime and Delinquency is an integrative multi-systemic model for working with at-risk adolescents and their families. The most recent interim report available data covers the period April 2001-September 2002 and involves 137 participating families ....
Investigation of dermatologic disease during Operation Enduring Freedom purpose
Aug 01, 2003; ... DERMATOLOGY It has been long recognized that dermatologie disease has an impact on mission accomplishment as disease non-battle injuries, which was shown during the Vietnam and Persian Gulf wars. An evaluation was performed to assess the incidence of dermatologie disease and expertise of ...
Using partnership to build social capital in community health
Aug 01, 2003; ... COMMUNITY MEDICINE AND PUBLIC HEALTH Increasingly, community and public health agencies are confronted by lack of social capital in the communities they serve, to address issues like environmental justice, bio-terrorism and the spread of infectious diseases. This session will provide ...
Physical medicine and rehabilitation services provided to casualties from Operations Enduring Freedom and Iraqi Freedom at a U.S. Army Medical Center
Aug 01, 2003; ... AEROSPACE, MILITARY, AND OCCUPATIONAL MEDICINE Military service members are at increased risk of experiencing trauma while engaged in field operations during combat. Traumatic injuries commonly include orthopedic, vascular, neurological, and psychological conditions. After such injuries, ...
The role of the U.S. naval flight surgeon
Aug 01, 2003; ... The naval flight surgeon plays an integral part in the success of operational squadrons. The roles and responsibilities of the naval flight surgeon are surmised below: First and foremost, the naval flight surgeon practices preventive medicine. He or she is the "natural interface between ...
Caution urged in concluding disparities mitigated by increase in AA docs
Aug 01, 2003; ... To the Editor, Drs. LaVeist and Carroll report that among African Americans, race concordance between patient and health care provider was associated with higher patient satisfaction.1 (J Natl Med Assoc. Nov 2002; 94 (11): 937-943). Though their findings corroborate other work,2-4 we ...
Seizure in a cocaine-intoxicated patient
Aug 01, 2003; ... EMERGENCY MEDICINE We present an unresponsive 22-year-old African-American male brought in by EMS. According to his mother, the patient fell while walking with his girlfriend, struck his head, and had a seizure. The mother also reported heavy cocaine use by the patient and a prior ...
Factors influencing infant feeding method in an urban community
Aug 01, 2003; ... The benefits of breastfeeding are well established. However, despite this fact, rates of breastfeeding continue to be low, falling far below the goals of Healthy People 2000. Rates are even lower among ethnic minority and low-income women. In this study, we attempt to identify the factors, which ...
Overwhelming number of AA deaths occur in police custody
Aug 01, 2003; ... To the Editor, Thank you for publishing the interesting article by Joye M. Carter, MD, who shared with the readers the challenges of medicolegal death investigation.1 Visions of the Rodney King beating and other police-related incidents with minorities disturb the public2-4 and have the ...
From Genes to Genomes
Aug 01, 2003; ... From Genes to Genomes Dale and Jan Shanfz; Wiley Publishers; ISBN 0471497835; $39.95 The completion of the human genome has opened new horizons in our understanding of the molecular and structural basis of disease. Understanding the basic concepts of molecular biology is essential for ...
Stroke in Blacks: A Guide to Management
Aug 01, 2003; ... Stroke in Blacks: A Guide to Management Edited by R.F. Gillum, P.B Gorelick, E.S. Cooper Stroke is the number-three killer in the United States, and blacks are several times more likely to die from it than whites. This valuable book provides the epidemiology, pathophysiology, diagnosis, ...
Non-association between acrochordons and colonic polyps in a minority population
Aug 01, 2003; ... Purpose: To determine usefulness of skin tags as a predictor of colonic polyps, in patients of a minority population. Setting: Inner-city community hospital serving predominantly African Americans and Hispanics. Methods: Evaluation of 480 consecutive patients undergoing ...
Pediatric trauma: Trauma admission volume for LA County and private hospitals
Aug 01, 2003; ... ANESTHESIOLOGY Introduction: Los Angeles County provides trauma services through both public and private hospitals. Disparities in number of trauma admissions based on age may exist. This study compares the volume of pediatric trauma admissions for 13 trauma centers in Los Angeles county ...
Old age
Aug 01, 2003; ... A long life is a gift from God, but it has its price. In their heyday, the Beatles said that "Death is the best trip" because it is the last. I don't know about death (who does?), but old age can be a good trip, too. Cancer and old age are not the only incurable diseases; a broken spirit is ...
Constraints on the validity of black/white differences in epidemiologic measurements
Aug 01, 2003; ... Present reports of racial and ethnic differences in epidemiologic data, though far from ideal, must be acknowledged as being a major improvement on the past, when social class factors were assigned minor roles in attempts to interpret disparities in health status1,2,3 In Ethnicity/Race, ...