Bioinformatic analysis reveals that the OAS family may play an important role in lupus nephritis.
CONCLUSIONS: our studies provided new insight into the molecular pathogenesis of LN. The OAS family may play an important role in LN and act as a novel molecular candidate for the further study of LN. PMID: 32622555 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - July 7, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

"The Most Dangerous Strain".
"The Most Dangerous Strain". J Natl Med Assoc. 2020 Jun 26;: Authors: Almeida M, Silverman ER Abstract Socioeconomic inequities have direct implications in COVID presentation, severity of illness and prognosis. From practice of prophylactic measures to availability of personal protective equipment, from access to diagnostic tests to treatment resources, there are many facets and distinct disease processes of a virus that, among many things, serves to expose and highlight our global disparities. PMID: 32601019 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - July 2, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Adaptation and Preliminary Evaluation of a Lung Cancer Screening Decision Tool for Older Chinese American Populations.
CONCLUSIONS: Lung cancer screening represents an evidence-based approach for reducing lung cancer morbidity and mortality among chronic high frequency smokers. Culturally targeting evidence-based lung cancer screening decision-aids to the language, cultural and health literacy needs of high risk populations may increase uptake of lung cancer early detection screening. PMID: 32605737 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - July 2, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Failure to Refer Patients with Colorectal Liver Metastases to a Multidisciplinary Oncology Team Should be a "Never-Event".
Failure to Refer Patients with Colorectal Liver Metastases to a Multidisciplinary Oncology Team Should be a "Never-Event". J Natl Med Assoc. 2020 Jun 20;: Authors: Molina G, Qadan M, Ferrone CR PMID: 32576388 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - June 25, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Predictors of Satisfying and Impactful Clinical Shadowing Experiences for Underrepresented Minority High School Students Interested in Healthcare Careers.
CONCLUSION: To increase diversity of the healthcare workforce, URM students need high volume patient-provider encounters. Racial and/or ethnic concordance of URM students and preceptors may provide for preferable role models. PMID: 32565026 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - June 24, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Executive Summary and Call to Action: Maternal Mortality Summit at National Medical Association Meeting, July 28, 2019 in Honolulu, Hawaii Obstetrics and Gynecology Section of the National Medical Association.
Authors: Hill WC, Lindsay MK, Green VL Abstract Non-Hispanic black women are 3-4 fold more likely to experience a maternal death than white women in the US, a health disparity that has been persistent for the past 50 years. The complete explanation for this disparity is unknown, but awareness of factors contributing to this disparity is key in addressing it. To address the emerging public health issue of the high rate of maternal mortality in African American women, NMA leaders in obstetrics and gynecology and women's health care, family planning, and reproductive health gathered for the "Black Maternal Mortal...
Source: Journal of the National Medical Association - June 22, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Concurrent Use of Videolaryngoscope and Fiberoptic Bronchoscope in a Child with Neurofibromatosis to Facilitate Endotracheal Intubation.
DISCUSSION: This is a case report of improvement of intubating conditions using both devices concurrently. PMID: 32563684 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - June 22, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Contemporary and Future Concepts on Hypertension in African Americans: COVID-19 and Beyond.
CONCLUSION: The disparities in outcomes, which are largely attributable to a greater prevalence of comorbidities such as hypertension and obesity, in addition to adverse environmental and socioeconomic factors, highlight the necessity of specialized clinical approaches and programs for African Americans to address longstanding barriers to equitable care. PMID: 32563685 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - June 22, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

On Answering the Call to Action For COVID-19: Continuing a Bold Legacy of Health Advocacy.
Authors: Morgan RC, Reid TN Abstract The disproportionately high burden of death and disability observed for racial and ethnic minorities under the Coronavirus pandemic necessitates sustained advocacy by the medical and public health communities around critical determinants of population health. Prompting our advocacy should be the understanding that our collective ability to rebound from such crises may ultimately hinge on protecting and equipping our most vulnerable racial-ethnic minority groups and any susceptible individuals within those populations. If proven effective, recent historic firsts by the U.S. Depar...
Source: Journal of the National Medical Association - June 22, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Colorblind Algorithms: Racism in the Era of COVID-19.
Authors: Williams JC, Anderson N, Mathis M, Samford E, Eugene J, Isom J Abstract This commentary offers a critique of the recent policy document issued by White et al. (2020) to guide critical care resource (e.g. ventilators) allocation during public health emergencies such as COVID-19. We argue that, if disseminated widely, this criteria would result in a racially inequitable resource distribution in the current COVID-19 crisis. We link the White et al. (2020) resource distribution protocol to other "colorblind" healthcare algorithms that have relied on seemingly objective but fundamentally biased data, ...
Source: Journal of the National Medical Association - June 22, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

The Essential Business Conundrum in COVID-19 Hotspots.
Authors: Martin CI, Moverman MA, Menendez ME PMID: 32553198 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - June 21, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

The NCI Center to Reduce Cancer Health Disparities: Moving Forward to Eliminate Cancer Health Disparities and Diversify the Cancer Biomedical Workforce.
Authors: Springfield SA, Van Duyn MAS, Aguila HN, Ogunbiyi P, Bailey LO, Lin A, Wallace TA, Snyder FR Abstract The National Cancer Institute's (NCI) Center to Reduce Cancer Health Disparities (CRCHD) was established in 2001 with the purpose of confronting and eliminating cancer health disparities, while increasing workforce diversity in cancer research. Over the last two decades, CRCHD has generated a broad range of research, training, and community outreach activities to address these overarching goals through a variety of programs including the Continuing Umbrella of Research Experiences (CURE), Partnerships to A...
Source: Journal of the National Medical Association - June 21, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

The Detrimental Influence of Racial Discrimination on Child Health in the United States.
CONCLUSION: The negative health association of racial discrimination may be mediated by mental health and vary by racial, ethnic, or socioeconomic group. This work may stimulate the formation of targeted interventions to address these disparities. PMID: 32532525 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - June 15, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Clinical Profiles of Elderly Patients Presenting with Persistent Dizziness.
CONCLUSION: Primary care physicians need to anticipate that many elderly dizzy patients can have more than one cause of dizziness. A systematic and planned approach can help the clinician to effectively treat dizziness in the elderly. PMID: 32532526 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - June 15, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Mindfulness Ased Stress Reduction Interventions for Cancer Related Fatigue: A Meta-Analysis and Systematic Review.
CONCLUSIONS: This research has used evidence-based medicine to evaluate whether MBSR can alleviate CRF in cancer patients and provide evidence for the comprehensive intervention program for patients with cancer-related fatigue. PMID: 32532527 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - June 15, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Developing an Infrastructure to Cultivate Equitable and Sustainable Community-Academic Research Partnerships: Meharry Community Engagement Core.
Authors: Stewart EC, Erves JC, Hargreaves MK, Duke JM, Sanderson M, Rowan N, Miller ST Abstract OBJECTIVES: Achieving health equity and reducing racial and ethnic health disparities require intentional community engagement efforts by academicians. Primary among these efforts is the acknowledgement of research-related mistrust. Efforts to build trust must begin with recognition of the invaluable knowledge and experience community stakeholders possess. METHODS: The Meharry Community Engagement Core builds on the foundation provided by Meharry Medical College, a Historically Black College and University, to achiev...
Source: Journal of the National Medical Association - June 15, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

A Synopsis of My New Book, Blacks in Medicine: Clinical, Demographic, and Socioeconomic Correlations.
Authors: Williams RA PMID: 32527502 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - June 14, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

The Association Between Symptom Onset and Length of Hospital Stay in 2019 Novel Coronavirus Pneumonia Cases Without Epidemiological Trace.
CONCLUSIONS: In COVID-19 cases without typical epidemiological links, patients with later symptom onset had relatively shorter LOS. PMID: 32505438 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - June 9, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Current HIV Testing & Risk Behaviors among Students at Historically Black Colleges & Universities in a Southern State.
CONCLUSION: Considering most participants had one or multiple HIV related risk behaviors, and many had never been tested for HIV, HBCUs may be important venues to promote HIV risk reduction and regular HIV testing. PMID: 32487358 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - June 5, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Rivaroxaban Versus Warfarin in African American Patients with Nonvalvular Atrial Fibrillation.
CONCLUSIONS: Rivaroxaban appeared at least as effective and safe as warfarin when used to manage African American patients with NVAF in routine practice. PMID: 32493618 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - June 5, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

What If They Threw A Pandemic And Nobody Came?
Authors: Brooks OT PMID: 32450991 [PubMed - in process] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - May 27, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Efforts to Undermine the Affordable Care Act Would Disproportionately Harm Black Americans.
Authors: Hughes D Abstract The historic Patient Protection and Affordable Care Act (ACA) has played a critical role in expanding coverage and improving care for African Americans, through provisions focused on health insurance, preventive services, and workforce, among others. In addition, the ACA authorized new offices of minority health and expanded federal efforts to collect health data by race, ethnicity, and other demographic variables. Efforts to weaken or repeal the ACA would disproportionately harm black Americans. PMID: 32416985 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - May 19, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Parents' Perspectives on Supporting Father Involvement in African American Families During Pregnancy and Early Infancy.
CONCLUSION: Participants discussed various needs of fathers to be effective partners and parents, and lacking informational resources tailored specifically for fathers. Research is needed to explore the best ways to tailor and disseminate information to fathers, especially prenatally. IMPLICATIONS: Study findings have significant implications for improving the ways in which maternity care, community-based programs, and pediatric providers support father involvement. PMID: 32409095 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - May 16, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Clear Lensectomy, Goniosynechiolysis and Hydrus Microstent in a Patient with Mixed Mechanism Glaucoma.
CONCLUSION: and Importance: Patients mixed mechanism glaucoma may benefit from earlier cataract extraction, goniosynechiolysis and Hydrus stent placement to lower intraocular pressure and reduce medication burden. PMID: 32402440 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - May 15, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Working to Advance Health Equity: The U.S. Food and Drug Administration Office of Minority Health and Health Equity.
Authors: Araojo R PMID: 32402441 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - May 15, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

A Call to Action-The Need to Address Obesity in the Black Community.
Authors: Earles K, Ard J, Stanford FC PMID: 32354562 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - May 3, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Urinary tract infection due to Aeromonas species: An uncommon causative agent.
CONCLUSIONS: The cases highlight another expanded range of infections caused by Aeromonas spp. that can be encountered in a community setting and indicate that infections with Aeromonas spp. should be kept in mind while investigating for the etiology of UTI, especially in adult patients with occupational exposure to aquatic ecosystems. PMID: 32349861 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - May 2, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

The Importance of Diversity and Inclusion in the Healthcare Workforce.
CONCLUSION: Finally, we report on best practices, frameworks, and strategies which have been utilized to improve diversity and inclusion in healthcare. PMID: 32336480 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - April 29, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Cerebral Salt-wasting Syndrome in a Critically Ill  Patient: An Easily Neglected Syndrome in Intensive Care Unit (ICU).
CONCLUSIONS: This case report provides a unique opportunity to observe the trigger of subdural effusion-induced CSWS, and also it provides the classical therapy for CSWS in a critically ill patient. In view of the difficulty to tell CSWS from other similar diseases in ICU, ICU doctors should be aware of such condition. PMID: 32327187 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - April 26, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

OB/GYN Providers' Knowledge of Racial and Ethnic Reproductive Health Disparities.
This study explores OB/GYN providers' knowledge about published health and healthcare disparities in women's reproductive health. METHOD: We collected demographic and health disparities knowledge information from OB/GYN providers who were members of ACOG District IV using an online survey (n = 483). We examined differences across groups using statistical tests and regression analyses in a structural equation modeling approach. RESULTS: Receiving disparities education was positively associated with higher self-reported disparities knowledge and disparities quiz performance (p 
Source: Journal of the National Medical Association - April 26, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Effects of Different Immunosuppressive Drugs on Incretins in Renal Transplant Patients.
Authors: Yilmaz N, Sari R, Suleymanlar G, Ozdem S Abstract BACKGROUND: Immunosuppressive drugs used in transplantation patients, may contribute to the development of post-transplant diabetes mellitus through their possible adverse effects on incretins. We aimed to compare the effects of different immunosuppressive drugs used in renal transplantation patients on glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP) levels. PATIENTS AND METHODS: Forty five subjects were enrolled in the study (cyclosporine-treated 15 and tacrolimus-treated renal transplant patients 15, and healthy ...
Source: Journal of the National Medical Association - April 20, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Sleep Disordered Breathing in Hospitalized African-Americans.
CONCLUSION: This is the largest SDB registry that included obese hospitalized AA patients in a tertiary care academic center and reveals a high prevalence of undiagnosed SDB in this cohort. Despite proactive screening and patient education only 3.8% (32/852) of patients returned post-discharge for formal polysomnography. The presence of SDB did not impact the 30-day readmission rate/ED visit rate in this cohort. PMID: 32305125 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - April 20, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Knowledge of Cervical Cancer and Adherence to Pap Smear Screening Test Among Female University Students in a Multiethnic Institution, USA.
CONCLUSIONS: This study confirmed a correlation of the receipt of Pap test with knowing the causes and prevention mechanisms of cervical cancer. Adequate knowledge about cervical cancer causes, and prevention/control strategies may help to improve adherence to Pap smear testing in college students. PMID: 32291069 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - April 16, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Does a Multidisciplinary Approach to Invasive Breast Cancer Care Improve Time to Treatment and Patient Compliance?
CONCLUSION: Use of cMDC for invasive breast cancer at our institution highlighted an area for improvement for care administered to blacks and improved patient compliance with appointments. PMID: 32291070 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - April 16, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Technological Innovation in Healthcare: Disrupting Old Systems to Create More Value for African American Patients in Academic Medical Centers.
Authors: Hardeman AN, Kahn MJ Abstract Healthcare in the United States (U.S.) has made incredible advances, but inefficiency and high costs continue to permeate the system. Urban and underserved communities face the greatest array of healthcare problems including the need to improve the quality of care provided them, disproportionate levels of poverty among different groups in the U.S., and the number of unhealthy people disproportionately represented by mostly African American and Hispanic populations. Academic medical centers (AMCs) are major community stakeholders who work to fulfill the increasing healthcare de...
Source: Journal of the National Medical Association - April 15, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

There is Still Bias in Patient Satisfaction Data.
Authors: Poole KG, McDougle L PMID: 32279882 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - April 15, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Who is Using the HIV Self-Test among Young Black Men Who Have Sex With Men (MSM) and Transwomen in New York City?
CONCLUSION: To increase consistent testing, HST may provide a new avenue for at-risk individuals that value privacy and control and could benefit from social support during testing. PMID: 32279883 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - April 15, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

A Review of Cervical Cancer: Incidence and Disparities.
CONCLUSIONS: By addressing these disparities via increased education, access to care, and the expansion of screening and vaccination programs, reductions in cervical cancer incidence and mortality may be achieved. PMID: 32278478 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - April 13, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Talking About the Cost of Care: A Critical Component of Shared Decision Making: Patient and Provider Perspectives.
CONCLUSIONS: This article reports the results of this work with recommendations for providers about how to incorporate cost of care discussions into the normal clinical work flow and patient life flow. PMID: 32278479 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - April 13, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Corona Virus: Global Pandemic Causing World-Wide Shutdown.
Authors: Mitchell EP PMID: 32253007 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - April 9, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Hospital Length of Stay after Metabolic and Bariatric Surgery by Race/Ethnicity and Procedure Type among Florida Patients.
We examined the association of hospital length of stay (LOS) by race-ethnicity (Hispanic, non-Hispanic white [NHW], NH black [NHB]) and MBS-procedure among Florida inpatients. DESIGN: Secondary analysis of inpatient records was performed using the 2016 Florida Agency for Health Care Administrative (AHCA) data. Records of Laparoscopic Roux-en-Y Gastric Bypass (RYGB), Laparoscopic Adjustable Gastric Banding (LAGB), and Sleeve Gastrectomy (SG) procedures based on ICD 10th edition code were analyzed. Via logistic regression analysis, the adjusted odds ratio (aOR) of longer LOS (≥2 versus 
Source: Journal of the National Medical Association - March 23, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Correlates of Adjuvant Therapy Attitudes in African American Breast Cancer Patients.
CONCLUSIONS: Our study findings may aid in the development of behavioral interventions targeted to mitigate Black women breast cancer treatment disparities. We found modifiable factors (e.g. communication, satisfaction ratings) that support opportunities for clinicians to better address Black women's needs regarding adjuvant treatment options. The development of tailored interventions for newly diagnosed Black breast cancer patients on patient related factors in health care are warranted for Black women with lower educational levels. PMID: 32197898 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - March 23, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Discrimination Toward Physicians of Color: A Systematic Review.
CONCLUSION: With physicians of color comprising a growing percentage of the U.S. physician workforce, healthcare organizations must examine and implement effective ways to ensure a healthy and supportive work environment. PMID: 32197899 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - March 23, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Intergenerational Influences on Faith-based Strategies Used in Response to Racial Discrimination Among Young African American Adults.
CONCLUSION: Since intergenerationally influenced strategies are likely potential sources of strength and resilience for young African Americans, knowledge of these strategies might be useful to health care practitioners seeking to improve the mental health care of this population. PMID: 32178886 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - March 19, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

2020 Vision: Continuing Declines in Cancer Incidence and Mortality Rates.
Authors: Mitchell EP PMID: 32169164 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - March 16, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

President's Message JNMA FEB 2020 Mothers Dying, Babies Crying.
Authors: Brooks OT PMID: 32169165 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - March 16, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Examination of the Association Between Latent Variables for Social Determinants of Health and Blood Pressure Control in Immigrants using Structural Equation Modeling.
Authors: Dawson AZ, Walker RJ, Gregory C, Egede LE Abstract BACKGROUND: Hypertension is responsible for about 12.8% of deaths around the world. Immigrants' risk of developing hypertension increases with length of residency. There is limited work on the role of social determinants of health and blood pressure control in immigrants. We created a theory-based conceptual model for immigrant-specific and general social determinants variables and their relationship to blood pressure. PURPOSE: Use a theory-based model to identify latent variables for immigrant-specific social determinants using confirmatory factor ana...
Source: Journal of the National Medical Association - March 16, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Explaining Heart Failure Hyper-mortality in Sub Saharan Africa: Global Genomic and Environmental Contribution Review.
Authors: Ajayi AA, Sofowora GG, Ladipo GO Abstract The annual heart failure (HF) mortality rate in Africa is 34% according to the INTERHF study. This is twice the world average of 16.5% and 3.7 times that of South America, 9%. We review evidence-based explanations for the Hyper-mortality of HF, by comparison of North American, Caribbean, Afro-Brazilian with Sub-Saharan African (SSA) nations profiles, and suggest amelioration. 1 year HF mortality rates in SSA ranged from 29% to 58%, and intra-hospital mortality rate from 8 to 26% (n = 8). A clustering of adverse genetic single nucleotide polymorphisms (SNP...
Source: Journal of the National Medical Association - March 14, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

In the Interest of Science or Humanity: J. Marion Sims Was Wrong Then and Now!
Authors: Warren RC, Clare CA, Villanueva R, Pinn VW PMID: 32115192 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - March 4, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Sickle Cell Disease is Associated with Increased Morbidity, Resource Utilization, and Readmissions after Common Abdominal Surgeries: A Multistate Analysis, 2007-2014.
CONCLUSION: Sickle cell disease patients are at high risk for poor outcomes based on their demographic characteristics. Therefore, perioperative physicians including hematologists, anesthesiologists, and surgeons need to take this knowledge into consideration for management and counselling of SCD patients on the risks of surgery and recovery. PMID: 32089275 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - February 26, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research