Journal of the Association for Academic Minority Physicians : the official publication of the Association for Academic Minority Physicians最新文献_第9页

Hispanic patients in an academic group practice: measurement issues and comparisons with non-Hispanics. 学术团体实践中的西班牙裔患者:测量问题和与非西班牙裔患者的比较。

Journal of the Association for Academic Minority Physicians : the official publication of the Association for Academic Minority Physicians Pub Date : 1996-01-01

O T Fein, S Matos-Cloke, R Lantigua

{"title":"Hispanic patients in an academic group practice: measurement issues and comparisons with non-Hispanics.","authors":"O T Fein, S Matos-Cloke, R Lantigua","doi":"","DOIUrl":"","url":null,"abstract":"Health services researchers face a challenge when analyzing populations that include patients of Hispanic cultural heritage. Definitions of Hispanic have changed over the past 25 years. Methods of ascertaining race and ethnicity are flawed, particularly within health care institutions. This study was designed to address these problems by applying a new and unique methodology for identifying Hispanics in a clinical practice. Physicians in a hospital-based academic group practice were asked to identify all Hispanics in their patient panels. A random sample of patients identified as Hispanics were then surveyed by telephone to establish country of origin, length of time in the United States, and bilinguality. This demonstrated a great diversity of country of origin among Hispanics. The 2630 Hispanic patients identified by these methods were compared with non-Hispanics in terms of demographics, case mix, and health care utilization. Health services researchers should consider identification by physicians as a useful method for identifying Hispanics in clinical practice settings.","PeriodicalId":77227,"journal":{"name":"Journal of the Association for Academic Minority Physicians : the official publication of the Association for Academic Minority Physicians","volume":"7 1","pages":"31-6"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19787948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Idiopathic esophageal ulceration in patients infected with human immunodeficiency virus. 人类免疫缺陷病毒感染患者的特发性食管溃疡。

Journal of the Association for Academic Minority Physicians : the official publication of the Association for Academic Minority Physicians Pub Date : 1996-01-01

K J Vega, J Bollu, E Z Dajani, B W Trotman

{"title":"Idiopathic esophageal ulceration in patients infected with human immunodeficiency virus.","authors":"K J Vega, J Bollu, E Z Dajani, B W Trotman","doi":"","DOIUrl":"","url":null,"abstract":"Esophageal disease is a common and important cause of morbidity and mortality in patients with human immunodeficiency virus (HIV) infection. The etiology of HIV-related esophageal ulceration varies. After all known etiologies are excluded, a subgroup of patients remains with esophageal ulceration known as idiopathic esophageal ulceration (IEU). Establishing a diagnosis of IEU is critical and precludes unnecessary treatment with antiviral, antifungal, or antibiotic agents. A review of the current literature indicates that there are no prospective, placebo-controlled, randomized, double-blind trials on the specific treatment of IEU. Several preliminary reports suggest that corticosteroids and thalidomide may be effective. The incidence and natural history of IEU are incompletely known. It is important to establish that any potential therapeutic agents employed to treat IEU do not increase viral replication or provide viral protection. There is a need for well-designed, placebo-controlled, prospective studies to assess the risks and benefits of corticosteroids, thalidomide, and other agents in the treatment of idiopathic esophageal ulceration.","PeriodicalId":77227,"journal":{"name":"Journal of the Association for Academic Minority Physicians : the official publication of the Association for Academic Minority Physicians","volume":"7 4","pages":"93-8"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19900687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Influence of insulin treatment on the mechanical properties and inotropic response to ethanol in diabetic myocardium. 胰岛素治疗对糖尿病心肌力学性能及对乙醇的肌力反应的影响。

Journal of the Association for Academic Minority Physicians : the official publication of the Association for Academic Minority Physicians Pub Date : 1996-01-01

R A Brown, A Adams, A O Savage

{"title":"Influence of insulin treatment on the mechanical properties and inotropic response to ethanol in diabetic myocardium.","authors":"R A Brown, A Adams, A O Savage","doi":"","DOIUrl":"","url":null,"abstract":"Diabetes significantly affects cardiac performance, as does ethanol. To assess whether insulin treatment alters the inotropic response to acute ethanol exposure and reverses diabetes-induced myocardial dysfunction, male Wistar rats were made diabetic using streptozocin, 55 mg/kg intravenously. The inotropic effect of ethanol on normal, diabetic, and insulin-treated (8 weeks) diabetic animals was studied using isolated, left-ventricular papillary muscle preparations superfused with Tyrode's solution under isometric conditions. Peak tension developed, time to peak tension (TPT), time to 90% relaxation (RT90), maximum rate of tension developed (+VT), and maximum rate of fall in tension (-VT) were determined in the absence and presence of clinically relevant concentrations of ethanol for 10 minutes. In insulin-treated diabetic muscles, baseline developed tension, +VT, and -VT were enhanced, and the prolongation of TPT and RT90, characteristic of diabetic myocardium, was attenuated. The magnitude of the reduction in developed tension in response to ethanol, 80 mg/dL, was slightly greater in untreated diabetic myocardium. Higher concentrations of ethanol (120 to 240 mg/dL) decreased tension in all groups and was of similar magnitude. The negative inotropic effect of higher ethanol concentrations was associated with shortening of TPT and RT90, as well as a diminution of +VT and -VT. It is concluded that with insulin treatment, the mechanical properties of diabetic myocardium are normalized; however, neither the myocardium's sensitivity to ethanol nor the overall magnitude of ethanol's negative inotropic effect is modified by insulin treatment.","PeriodicalId":77227,"journal":{"name":"Journal of the Association for Academic Minority Physicians : the official publication of the Association for Academic Minority Physicians","volume":"7 1","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19788014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Highlights of the ninth annual scientific meeting of the Association for Academic Minority Physicians, 1995. 1995年学术少数民族医师协会第九届年度科学会议的亮点。

Journal of the Association for Academic Minority Physicians : the official publication of the Association for Academic Minority Physicians Pub Date : 1996-01-01

B W Trotman, H M Delany, J G Douglas, S L Kamholz, E W Straus

引用次数: 0

Ulcerative colitis: pathogenesis, diagnosis, and current treatment. 溃疡性结肠炎:发病机制、诊断和目前的治疗。

Journal of the Association for Academic Minority Physicians : the official publication of the Association for Academic Minority Physicians Pub Date : 1996-01-01

L H Griffel, K M Das

{"title":"Ulcerative colitis: pathogenesis, diagnosis, and current treatment.","authors":"L H Griffel, K M Das","doi":"","DOIUrl":"","url":null,"abstract":"Ulcerative colitis is a chronic inflammatory disease of the colon that affects the rectum and a variable length of contiguous colon. The disease is characterized by rectal bleeding and diarrhea during periods of exacerbation; these symptoms usually abate with treatment. The pathogenic mechanism of ulcerative colitis is believed to be an aberrant immune response in which antibodies are formed against colonic epithelial protein(s). The disease usually presents during the second and third decades of life, with a smaller peak after the age of 60 years. There is a genetic component to ulcerative colitis, with a higher incidence among family members and, particularly, first-degree relatives. Diagnosis depends on several factors, most notably symptoms, demonstration of uniformly inflamed mucosa beginning in the rectum, and exclusion of other causes of colitis, such as infection. There is no medical cure for ulcerative colitis, but medical therapy is effective and can improve or eliminate symptoms in more than 80% of patients. Surgery offers a cure but carries the high price of total colectomy. New surgical methods, such as ileoanal anastomosis, allow for maintenance of bowel continuity and better patient satisfaction.","PeriodicalId":77227,"journal":{"name":"Journal of the Association for Academic Minority Physicians : the official publication of the Association for Academic Minority Physicians","volume":"7 3","pages":"63-9"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19772084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Photosensitivity and antinuclear antibodies in black patients with systemic lupus erythematosus. 系统性红斑狼疮黑人患者的光敏性和抗核抗体。

Journal of the Association for Academic Minority Physicians : the official publication of the Association for Academic Minority Physicians Pub Date : 1996-01-01

M F Smikle, E N Barton, O S Morgan, K Deceulaer

{"title":"Photosensitivity and antinuclear antibodies in black patients with systemic lupus erythematosus.","authors":"M F Smikle, E N Barton, O S Morgan, K Deceulaer","doi":"","DOIUrl":"","url":null,"abstract":"Black patients with systemic lupus erythematosus (SLE) have a lower prevalence of photosensitivity rashes than white patients. The reasons for this are unknown, but some studies suggest a correlation between the presence of antinuclear antibodies and protection from photosensitivity. In our study, we determined serum antinuclear-antibody profiles, including anti-dsDNA, anti-Sm, anti-RNP, anti-Ro/SS-A, and anti-La/SS-B antibodies, in 91 black Jamaican patients with SLE. All 91 serum samples from SLE patients (100%) were positive in the fluorescent antinuclear-antibody test. Using the crithidia luciliae immunofluorescence test, anti-dsDNA was found in 27.5% of the samples. By a double immunodiffusion method, anti-Sm antibodies were found in 15.4%, anti-RNP in 18.7%, anti-Ro/SS-A in 9.9%, and anti-La/SS-B in 11.0%. However, no statistically significant differences were observed in the seroprevalence of these antinuclear antibodies when sera from patients of the following groups were compared: only photosensitivity rashes (n = 17), photosensitivity and other rashes (n = 23), other rashes without photosensitivity (n = 27), and patients with no skin rash of any type (n = 24). These results suggest that photosensitivity in black Jamaican patients with SLE is not associated with antinuclear-antibody specificity.","PeriodicalId":77227,"journal":{"name":"Journal of the Association for Academic Minority Physicians : the official publication of the Association for Academic Minority Physicians","volume":"7 2","pages":"53-5"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19958144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Advancing the cause of academic minority physicians and scientists. 推进少数民族医师和科学家的学术事业。

Journal of the Association for Academic Minority Physicians : the official publication of the Association for Academic Minority Physicians Pub Date : 1995-01-01

L J Haywood

引用次数: 0

Controversy in the pharmacologic treatment of hypertension in African Americans. 非裔美国人高血压药物治疗的争议。

Journal of the Association for Academic Minority Physicians : the official publication of the Association for Academic Minority Physicians Pub Date : 1995-01-01

W Lockette

引用次数: 0

Decreased maternal-fetal attachment in methadone-maintained pregnant women: a preliminary study. 美沙酮维持孕妇母子依恋减少:一项初步研究。

Journal of the Association for Academic Minority Physicians : the official publication of the Association for Academic Minority Physicians Pub Date : 1995-01-01

M S Mikhail, J Youchah, N DeVore, G Y Ho, A Anyaegbunam

{"title":"Decreased maternal-fetal attachment in methadone-maintained pregnant women: a preliminary study.","authors":"M S Mikhail, J Youchah, N DeVore, G Y Ho, A Anyaegbunam","doi":"","DOIUrl":"","url":null,"abstract":"Maternal-fetal attachment represents the mother's affiliation and interaction with her unborn fetus. It develops during pregnancy and may be critical to successful mother-infant adaptation. The purpose of this study was to investigate maternal-fetal attachment in methadone-maintained pregnant women. We studied a cross-sectional sample of women (n = 67), 15 to 35 years of age, with uncomplicated, singleton pregnancies, at 28 to 37 weeks of gestation. The study population comprised two groups: group 1 consisted of 17 women enrolled in a substance abuse program who were using methadone, 40 to 80 mg a day, for a period of more than 3 months; group 2 included 50 women with no history of substance abuse. The Cranley 24-item scale was used as a measure of maternal-fetal attachment. Methadone-maintained pregnant women had diminished maternal-fetal attachment scores compared with controls (P < .05). This may be attributed to methadone use or to behavior characteristics of women with substance abuse. In either case, decreased maternal-fetal attachment may conceivably reduce women's compliance with prenatal health care, interfere with maternal adjustment during pregnancy, and/or have negative long-term effects on mother-child attachment.","PeriodicalId":77227,"journal":{"name":"Journal of the Association for Academic Minority Physicians : the official publication of the Association for Academic Minority Physicians","volume":"6 3","pages":"112-4"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18668762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cocaine effects on pregnancy and infant outcome: do we really know how bad it is? 可卡因对怀孕和婴儿结局的影响:我们真的知道它有多糟糕吗?

Journal of the Association for Academic Minority Physicians : the official publication of the Association for Academic Minority Physicians Pub Date : 1995-01-01

L J Dungy-Poythress

引用次数: 0