The Telehealth Paradox in the Neediest Patients.
Authors: Menendez ME, Moverman MA, Puzzitiello RN, Pagani NR, Ring D PMID: 33092857 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - October 24, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

African-Americans Are Less Frequently Assessed For Hereditary Colon Cancer.
This study evaluated the rate of hereditary CRC risk assessment in African-American and white patients. METHODS: A chart review of all patients referred for CRC screening in a university gastroenterology clinic during a 3 month period was performed. Patient self-described race/ethnicity, gender, age, documentation of multi-generational family medical history (3+ generations) were obtained. Amsterdam II Criteria, Bethesda Criteria and Colorectal Cancer Risk Assessment Tool were used to determine which patients with family histories should receive referrals for genetic counselling. Statistical analysis was performed usin...
Source: Journal of the National Medical Association - October 24, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Race, Gender, and Residency: a Survey of Trainee Experience.
Authors: Aryee JNA, Bolarinwa SA, Montgomery SR, Novicoff W, Dacus AR Abstract BACKGROUND: Racial minority and female trainees undergo residency attrition at significantly higher rates than their counterparts. We hypothesize that racial minority, and female trainees will report significantly different training experiences from non-minority and male trainees, respectively. Further, we hypothesize that thoughts of withdrawal and summative description of residency experience will be significantly impacted by access to mentorship and feelings of isolation. METHODS: A link to a Qualtrics survey was sent to program o...
Source: Journal of the National Medical Association - September 30, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

The Astounding Breadth of Health Disparity: Phenome-Wide Effects of Race on Disease Risk.
CONCLUSIONS: PheWAS is a viable tool for calculating risk associated with any biomarker. The current analysis provide a new approach to generating hypotheses and understanding the breadth of health disparities. Future analyses will further explore causality, risk factors, and potential confounders not accounted for here. PMID: 32958289 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - September 24, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Heart Failure Hospitalizations and Risk Factors among the Multi-Ethnic Population from a Middle Income Country: The Suriname Heart Failure Studies.
Authors: Sairras S, Baldew SS, van der Hilst K, Shankar A, Zijlmans W, Lichtveld M, Ferdinand K Abstract INTRODUCTION: Heart failure (HF) is an emerging epidemic with poor disease outcomes and differences in its prevalence, etiology and management between and within world regions. Hypertension (HT) and ischemic heart disease (IHD) are the leading causes of HF. In Suriname, South-America, data on HF burden are lacking. The aim of this Suriname Heart Failure I (SUHF-I) study, is to assess baseline characteristics of HF admitted patients in order to set up the prospective interventional SUHF-II study to longitudinally...
Source: Journal of the National Medical Association - September 17, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

The Impact of COVID-19 on Racial-Ethnic Health Disparities in the US: Now Is the Time To Address the Problem.
Authors: Ellis C, Jacobs M, Keene KL, Grubaugh AL PMID: 32917409 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - September 14, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Impact of a Novel Post-Discharge Transitions of  Care Clinic on Hospital Readmissions.
CONCLUSION: Among Medicare and Medicaid beneficiaries and commercial health insurance patients, this hospitalist-led TOC intervention was associated with a statistically significant reduction in 30-day readmissions following discharge for all-cause hospital admissions. PMID: 32900472 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - September 10, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

The National Medical Association 1895-2020: Struggle for Healthcare Equity in the United States of America.
Authors: Mitchell EP PMID: 32891361 [PubMed - in process] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - September 9, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

President's Message: Unfinished Business.
Authors: Brooks OT PMID: 32891362 [PubMed - in process] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - September 9, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Adherence to Iron Chelation Therapy with Deferasirox Formulations among Patients with Sickle Cell Disease and β-thalassemia.
The objective of this study was to compare adherence rates between formulations of deferasirox (DT versus FCT) and describe associations between adherence to chelation therapy and changes in hematological parameters among patients with SCD and β-thalassemia. METHODS: In this retrospective study of 20 children and adults with sickle cell disease (SCD) and β-thalassemia with iron overload, we compared adherence rates for deferasirox DT versus deferasirox FCT. We reviewed data from the electronic medical record and pharmacy expense reports between 2014 and 2018. We calculated the mean medication possession ratio...
Source: Journal of the National Medical Association - September 9, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Barriers to the Treatment of Hepatitis C among Predominantly African American Patients Seeking Care in an Urban Teaching Hospital in Washington, D.C.
Authors: Liu L, Daftary MN, Alzahrani MS, Ohanele C, Maneno MK Abstract BACKGROUND: In the United States, it is estimated that 2.4 million people are currently infected with the hepatitis C virus (HCV). In order to address HCV infection management in the U.S., several government entities collaborated to develop and release a multistep plan for the prevention, care, and treatment of viral hepatitis. Optimal health outcomes from the plan are contingent upon addressing each of the several steps in the HCV care cascade. Among the critical challenging steps is linkage to care and access to treatment. Of the nearly three...
Source: Journal of the National Medical Association - September 3, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Aiding Universal Health Coverage through Humanitarian Outreach Services and Global Health Diplomacy in Resource-Poor Settings.
Authors: Chattu VK, Jean-Louis G, Zeller JL, Pandi-Perumal SR Abstract According to the Lancet Commission Report on Global Surgery, it was estimated that in 2010 about 16.9 million lives were lost due to the unavailability of surgical. It was further calculated that 77.2 million DALYs could simply have been averted by providing basic surgical inspection and triage. Aiding Universal Health Coverage (UHC) through Humanitarian Outreach Services in Resource-Poor Settings is both challenging and difficult to execute. However, to promote and ensure the right to health even by vulnerable groups, the role of global health ...
Source: Journal of the National Medical Association - September 1, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Cohorting Asymptomatic Patients by COVID-19 Status - Beware of False Negative RT-PCR Test Results and Inevitable Racial Segregation.
Authors: Henderson CE, Rezai S, Roxland B PMID: 32859396 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - August 31, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Promoting Physician Diversity through Medical Student Led Outreach and Pipeline Programs.
CONCLUSION: The authors call on medical students across the country to join in pursuit of health equity and a diverse physician workforce that reflects the evolving demographics of the United States. Medical students can impact the health of local communities through implementation of educational outreach programming to facilitate access to medical education for middle and high school students. PMID: 32859397 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - August 31, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Asymptomatic Otitis Media With Effusion in Children With Adenoid Enlargement.
CONCLUSIONS: 29.2% of children with adenoid enlargement had a co-morbidity of asymptomatic OME. The factors associated with OME were increased age and weight of the patients. PMID: 32838976 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - August 27, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Gastrointestinal and Hepatic Manifestations of COVID-19: Evolving Recognition and Need for Increased Understanding in Vulnerable Populations.
Authors: Garland V, Kumar AB, Borum ML Abstract The novel coronavirus, SARS-CoV-2, has caused a global pandemic with high morbidity and mortality. It was first observed to cause a severe acute respiratory syndrome. However, gastrointestinal and hepatic manifestations have been increasingly recognized. Gastrointestinal symptoms include diarrhea, epigastric pain, nausea, and vomiting. Diarrhea is the most common GI manifestation of SARS-CoV-2 and can present without or without respiratory symptoms. Patients with GI symptoms have been associated with longer duration of illness and may be associated with more severe il...
Source: Journal of the National Medical Association - August 20, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

A Picture of Modern Medicine: Race and Visual Representation in Medical Literature.
CONCLUSIONS: Unfortunately, these results suggest that there is an underlying implicit racial bias in published images from medical literature with an underrepresentation of minorities compared to the general population, which could also contribute to inequities in health care. It is critical that health care providers, educators, and trainees promote cultural competency and work to understand the multifaceted influence of race and culture on the daily experience of patients in the modern healthcare system. We hope this study will encourage authors to critically evaluate their medical images for implicit bias so that docum...
Source: Journal of the National Medical Association - August 14, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Menstrual Type, Pain and Psychological Distress in Adult Women with Sickle Cell Disease (SCD).
CONCLUSIONS: The authors interpret these results to suggest that there may be a complex interaction of neurohormonal, biological, and psychological factors associated with PMS that influence manifestation and experience of chronic pain in patients with SCD. PMID: 32763132 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - August 14, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

The Life of a Black Medical Trainee in the United States: Past, Present, Future.
Authors: Stowers JA, Desrosiers S, Zeleke K, Bakare O, Seifi A Abstract AN INTRODUCTION TO THE HISTORY OF BLACK MEDICAL TRAINEES: In these unprecedented times, Black medical professionals must deliver excellent medical care and uphold the highest standards of their profession while living through a devastating pandemic. They must do so in a time when the country tries to reconcile with generations of racism and injustice. The current social environment in America is particularly challenging for medical trainees such as medical students and resident physicians who must focus on their educational requirements and car...
Source: Journal of the National Medical Association - August 14, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Mitigating Bias in Virtual Interviews for Applicants Who are Underrepresented in Medicine.
Authors: Nwora C, Allred DB, Verduzco-Gutierrez M Abstract The COVID 19 pandemic has forced residency programs to consider virtual interview formats that can disproportionately and negatively impact unrepresented in medicine applicants. Diversity is a compelling interest for residency programs. In order to recruit and retain a diverse workforce, programs must recognize the deleterious effect virtual interviews may have on underrepresented in medicine applicants. PMID: 32768242 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - August 14, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Relationship between Mammographic Findings and Breast Abnormalities in a Nigerian Population.
CONCLUSION: Poorly defined margins were positively correlated with BIRADS ratings suspicious for malignancy. The presence of a breast mass was positively correlated with a higher BIRADS score when other possible cofounding variables were not accounted for. Patient age did not correlate with breast density in this study. PMID: 32768243 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - August 14, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Factors that Influence Underrepresented in Medicine (UIM) Medical Students to Pursue a Career in Academic Pediatrics.
CONCLUSIONS: Early mentorship for UIM medical students is important to increase exposure to academic pediatrics. Future study on the experience of UIM medical students and their pursuit of academic roles could help produce a more diverse workforce. Also, pipeline programs for students to be exposed to academic pediatrics early in their education career would be beneficial. PMID: 32771220 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - August 14, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Trends in Medical Expenditures by Race/Ethnicity in Adults with Type 2 Diabetes 2002-2011.
The objective of the study was to examine racial/ethnic differences in medical expenditures (prescription, office-based, in-patient, out-patient, emergency room, total) over time, overall and by type of expenditure, in a nationally representative sample of adults with diabetes. METHODS: A weighted sample of 17,820,243 adults aged ≥18 with diabetes from the Medical Expenditure Panel Survey (MEPS) dataset from 2002 to 2011 were analyzed for this study. Multiple comparison testing and general linear model (GLM) were used to test for differences in expenditures by race. Total unadjusted expenditures by racial/ethnic cat...
Source: Journal of the National Medical Association - August 14, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Are There Regional Differences in Triple Negative Breast Cancer among Non-Hispanic Black Women?
CONCLUSIONS: Results from this study highlight the need to extend etiological research and evidence-based cancer prevention and control efforts to women at high risk of this disease in order to decrease cancer disparities. PMID: 32778443 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - August 14, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Creating Disability-Competent Medical Students Via Community Outreach.
Authors: Theoret C, Patel R, Thangamathesvaran L, Shah R, Chen S, Traba C Abstract INTRODUCTION: Medical students often have limited exposure to providing care to physically and cognitively disabled patients. To address this gap, Involvement with Disability Education and Advancement (IDEA) was started in 2015 at Rutgers New Jersey Medical School (NJMS). The organization provides NJMS students the opportunity to visit a school dedicated to disabled students and lead educational sessions on health topics. MATERIALS AND METHODS: We conducted a survey study in 2018 to compare comfort levels between IDEA members and...
Source: Journal of the National Medical Association - August 14, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

National Disparities in COVID-19 Outcomes between Black and White Americans.
Authors: Poulson M, Geary A, Annesi C, Allee L, Kenzik K, Sanchez S, Tseng J, Dechert T Abstract BACKGROUND: There is very limited comprehensive information on disparate outcomes of black and white patients with COVID-19 infection. Reports from cities and states have suggested a discordant impact on black Americans, but no nationwide study has yet been performed. We sought to understand the differential outcomes for black and white Americans infected with COVID-19. METHODS: We obtained case-level data from the Centers for Disease Control and Prevention on 76,442 white and 48,338 non-Hispanic Black patients diag...
Source: Journal of the National Medical Association - August 14, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Pruritus in Black Skin: Unique Molecular Characteristics and Clinical Features.
CONCLUSION: Pruritus and chronic pruritus disorders disproportionately affects black patients. Management of pruritus of special importance in black patients includes low pH skin care products to protect the skin barrier along with emollients to diminish trans-epidermal water loss. Further mechanistic studies are needed to characterize racial differences in biomarkers and therapeutic targets of chronic itch. PMID: 32747312 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - August 5, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Pandemic Superimposed on Epidemic: Covid-19 Disparities in Black Americans.
Authors: Kirksey L, Tucker DL, Taylor E, White Solaru KT, Modlin CS Abstract Health and healthcare disparities are variances in the health of a population or the care rendered to a population. Disparities result in a disproportionately higher prevalence of disease or lower standard of care provided to the index group. Multiple theories exist regarding the genesis of this disturbing finding. The COVID-19 pandemic has had the unfortunate effect of amplifying health inequity in vulnerable populations. African Americans, who make up approximately 12% of the US population are reportedly being diagnosed with COVID-19 and...
Source: Journal of the National Medical Association - August 5, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Giant Omphalocele Complicated by 9P Minus Syndrome.
Authors: Alexander G, Silva J, Curi B, Yancy J, Bogojevic A, Gaither K Abstract Omphalocele is characterized as a ventral wall defect in which there exists a midline herniation of abdominal viscera into the base of the umbilical cord. Fetuses with a diagnosis of this entity are at a significantly increased risk of having an aneuploidy, additional anomalies, or associations with other syndromes such as Beckwith Wiederman. Secondary to these interconnections, there is an elevated risk of fetal loss in affected pregnancies. Detection of concordant abnormalities, appropriate genetic counseling, and involvement of pedia...
Source: Journal of the National Medical Association - August 5, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

An Adrenal Incidentaloma Diagnosed as Dopamine-Secreting Pheochromocytoma: A Case Report.
CONCLUSION: Patients with dopamine-secreting pheochromocytomas are mostly asymptomatic, leading to a significant delay in diagnosis. There is a large possibility for dopamine-secreting pheochromocytomas to show a malignant tendency than the adrenergic and noradrenergic phenotypes. The a-adrenergic receptor blocker is not indicated for preoperative medical treatment because it can cause hypotension and cardiovascular failure. Calcium channel blockers or metyrosine may be better alternatives. All patients with pheochromocytomas should receive targeted genetic testing based on specific clinical features. SDHB, SDHD, RET, VHL ...
Source: Journal of the National Medical Association - August 4, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Uncovering Outcome Disparities of β2 Adrenergic Agonists in Blacks: A Systematic Review.
CONCLUSIONS: Evidence suggests the potential for differences in β2 agonist outcomes among Blacks compared with other groups. This literature, however, remains small and significantly underpowered for substantive conclusions. There are notable opportunities for adequately-powered investigations exploring safety and efficacy of β2 agonists among Blacks, including pharmacogenomic modifiers of response. PMID: 32732018 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - August 1, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

COVID-19 Innovations: Addressing Rapidly Changing Clinical Needs.
Authors: Mitchell EP PMID: 32709271 [PubMed - in process] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - July 29, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Police Brutality and Blacks: An American Immune System Disorder.
Authors: Brooks O PMID: 32709272 [PubMed - in process] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - July 29, 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 indelible impacts on our nation from the Coronavirus pandemic along with high fatality rates that disproportionately burden racial and ethnic minorities necessitate long-term coordinated federal, state and local action to improve critical determinants of population health, specifically important health and public health infrastructures as well as emergency and disaster preparedness systems. While our purview as the new pandemic epicenter should be a sufficient driver, coordinated health professionals bringing thoughtful attention to our historical context may be warranted. P...
Source: Journal of the National Medical Association - July 29, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

HIV Stigma: A Clinical Provider Sample in the Southern U.S.
This study examined the prediction of HIV knowledge on multiple dimensions of stigma beliefs. METHODS: We assessed clinical staff (N = 153) in rural clinics (2017) HIV stigma beliefs and knowledge. Using multiple regression, we examined the ability of knowledge to predict stigma beliefs organized into meaningful dimensions. RESULTS: There was high variability in HIV knowledge among the medical professionals surveyed with a score of 70/100 (i.e., a 'C'). Of the five stigma factors explored, only two had a score greater than 80 (ie., a 'B' score on the 'test'). Controlling for demographic factors, there was...
Source: Journal of the National Medical Association - July 29, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Breast Cancer Treatment Experiences of Witness Project of Kansas Participants.
CONCLUSIONS: As a result of the focus groups a gap in services emerged in educating the patient's partners about what is needed for their significant others and what role partners play in the recovery process. PMID: 32713602 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - July 29, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

An Exploration of Chronic Disease Perception, Management, and Barriers to Care in Liberian Refugees Resettled in Charlottesville, Virginia.
This study aims to understand the Liberian refugee populations' model of chronic disease. In 2014, twelve one-on-one interviews were conducted. Topics included concept of disease, health care access, disease burden, acculturation, and socioeconomic factors. Transcripts were analyzed according to the explanatory model of disease and Krueger's framework analysis. This study can assist providers in tailoring their practices to meet the needs of refugee patients and inform future public health interventions. PMID: 32693979 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - July 24, 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.
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: 32684288 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - July 22, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Factors Associated with Lower HIV Testing Rates in an Insured Urban Population.
CONCLUSION: 1637 of those insured reported no previous HIV testing. Age greater than 50 and unprotected sex were significant risk factors. Health insurance status did not always correlate with previous testing. HIV prevention efforts should target this population with appropriate messaging and screening during routine evaluations. PMID: 32690326 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - July 22, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Assessing Burnout and Associated Risk Factors in Medical Students.
CONCLUSION: Although factors assessed during this study showed no significant effect, the data trends suggest that both women and Black students experienced higher rates of burnout. Further discussion regarding solutions to burnout is required in order to intervene early on in training for those at highest risk. PMID: 32680700 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - July 19, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

HPVs Vaccination among Racial/Ethnic Minority College Students: Current Status and Future Direction.
DISCUSSION: Significant racial/ethnic disparities in HPVs vaccination exist among both college men and women. Interventions to increase vaccine awareness, access, and uptake among racial/ethnic minority college students are lacking and warranted. Interventions targeting only knowledge and/or intention might not be sufficient. Theory-based studies that examine unique factors involved in vaccine uptake during college across multiple levels of influence including psychosocial, provider, health care, and culture are needed. PMID: 32665067 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - July 16, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Tomosynthesis mammographic Imaging Screening Trial (TMIST): An Invitation and Opportunity for the National Medical Association Community to Shape the Future of Precision Screening for Breast Cancer.
Authors: Lee C, McCaskill-Stevens W Abstract To determine the best screening modality for breast cancer, a large randomized clinical trial is underway to compare the mammographic accuracy between the standard digital and tomosynthesis mammography. The Tomosynthesis Mammographic Imaging Screening Trial (TMIST) is also building the world's largest biorepository of breast cancer specimens from all biopsies at screening and wants to ensure it is representative of the US population. We invite the National Medical Association physicians, as leaders in the health care of African Americans, to continue their commitment to ...
Source: Journal of the National Medical Association - July 15, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Aberrant Expression of Gastric Carcinoma High Expressed Transcript 1 is a Diagnostic and Prognostic Biomarker in Human Cancer.
Authors: Wang H, Meng F, Dong S Abstract BACKGROUND: Gastric carcinoma high expressed transcript 1 (GHET1), a long noncoding RNA (LncRNA), has been reported to be involved in tumor genesis and cancer progression. High GHET1 expression is correlated with a poor prognosis in cancer. In this meta-analysis, we investigated the association between GHET1 and lymph node metastasis, differentiation, vascular invasion and so on in human cancer. METHODS: We performed systematic search in PubMed, EMBASE, Wiley Online Library, Wiley Online Library, and Medline from January 1, 1996 to September 25, 2017. A total of 8 studie...
Source: Journal of the National Medical Association - July 14, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Blackface, Implicit Bias, and the Informal Curriculum: Shaping the Healthcare Workforce, and Improving Health.
Authors: Thomas B, Booth-McCoy AN Abstract Blackface, Implicit Bias, and the Informal Curriculum: Shaping the Healthcare Workforce, and Improving Health. BACKGROUND/PURPOSE: Health disparities disproportionately affect minority populations and are due to multiple factors including discrimination and implicit bias. Biases are ubiquitous throughout society, including the educational and healthcare environment. In health care it is at the patient-provider level that our biases play a major role in patient care exhibiting a rippling effect going beyond individual provider biases affecting not only patients and fami...
Source: Journal of the National Medical Association - July 12, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Cervical Cancer Incidence and Mortality among Non-Hispanic African American and White Women, United States, 1999-2015.
CONCLUSION: NH African American women had significantly higher cervical cancer incidence and mortality rates than NH Whites. Even as incidence and mortality trends declined significantly, older NH African Americans had three times the rate of cervical cancer than NH Whites. Prevention and treatment programs need to be enhanced for African Americans as failure to do so may widen cancer disparities. PMID: 32651038 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - July 12, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Lifestyle Modification Practices and Drug Prescription Use in Elderly Americans with Metabolic Syndrome: A Nationwide Population-Based Study.
Authors: Okosun IS, Nkemjika S, Okosun B, Lyn R, Airhihenbuwa CO Abstract AIM: To determine differences in lifestyle modification practices and use of prescription drugs in a representative sample of Mexican American (MA), non-Hispanic White (NHW), and non-Hispanic Black (NHB) elderly Americans with metabolic syndrome (MetS). METHODS: Data from the United States National Health and Nutritional Examination Surveys were used in this study. Lifestyle modification practices include ongoing physical activity, weight control, and ongoing diet modifications. Prescription drugs include anti-diabetic, anti-obesity, lipi...
Source: Journal of the National Medical Association - July 11, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Factors that Influence Mammography Use for Breast Cancer Screening among African American Women.
CONCLUSIONS: Financial and cultural issues were important hindrances to breast cancer screening in African American women. These findings highlight the importance of affordable health care for preventive health services as well as the relevance of culturally embedded issues to health, while the MQS accentuates the need for more rigorous research articles. Breast cancer screening interventions in this population should attend to barriers identified in this review. PMID: 32641257 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - July 11, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Differences in Racial Disparities in Firearm Homicide across Cities: The Role of Racial Residential Segregation and Gaps in Structural Disadvantage.
CONCLUSION: Reducing racial disparities in firearm homicide may require programs and policies that specifically address the adverse consequences of racial segregation. PMID: 32641258 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - July 11, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Racial and Ethnic Disparities in Access to Emerging and Frontline Therapies in Common Dermatological Conditions: A Cross-Sectional Study.
This study investigates possible race- and ethnicity-related disparities in the treatment of acne, atopic dermatitis, and psoriasis of newly approved treatments as well as existing therapies. METHODS: Aggregate level data was collected from patient medical records between 2013 and 2018. The odds ratio of patients who had been prescribed treatments for acne, atopic dermatitis, and psoriasis per racial and ethnic group were calculated using a 95% confidence interval after applying Bonferroni correction to account for multiple comparisons. RESULTS: Black patients with acne had statistically significant (p 
Source: Journal of the National Medical Association - July 11, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Breast Cancer Screening Shared Decision-Making in Older African-American Women.
CONCLUSIONS: Older African American women are willing to engage in discussions about whether or not to continue breast cancer screening and found decision aids helpful. PMID: 32624238 [PubMed - as supplied by publisher] (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - July 8, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research