J Natl Med Assoc
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The aim of this study was to identify whether different patient characteristics and clinical factors can be risk factors in patients with persistent postsurgical pain (PPSP) after total knee arthroplasty (TKA). ⋯ PPSP and the neuropathic component in PPSP after TKA are not underestimated for pain management and patient satisfaction. Subgroups of patients, particularly widowers, having a primary school education level or under, housewives, people with jobs that require physical effort, individuals with intense pre-surgical pain during rest and those suffering from pre-surgical restricted walking distance, are at higher risk of developing PPSP following TKA.
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To determine whether perceptions of the medical school diversity climate are associated with depression symptoms among medical students. ⋯ Among medical students, greater exposure to a negative medical school diversity climate was associated with an increase in self-reported depressive symptoms.
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The purpose of the current study was to examine differences among bodily integrity, disgust, medical mistrust, and superstition among African Americans, Caucasians, and Latinos; females and males; and registered organ donors and non-registered potential donors. ⋯ This study highlights the significance of audience segmentation when promoting posthumous organ and tissue donation. Specifically, the results stress the importance of constructing distinct messages to non-registered potential donors compared to messages delivered to registered donors. Moreover, different barriers surfaced among females and males as well as among African American, Caucasian, and Latino residents. It is clear that a one size fits all approach will likely not work when promoting organ and tissue donation.
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The goal of matriculating a diverse medical cohort remains important for institutions across the country as it results in an increase in the diversity of the physician workforce. By admitting students who are underrepresented in medicine, the pressing health needs of the growing and diverse patient population of our country can be met by physicians who are representative of their communities. Given the challenges of choosing from a small pool of applicants, medical schools should consider seeking the support of current medical students in expanding the applicant pool and recruiting the next generation of physicians. ⋯ Through this pipeline program, current underrepresented applicants experience a two-day recruitment event that introduces them to life as a medical student. Incorporating current medical students in recruitment programming allows institutions to access a knowledgeable and inspirational resource that is readily available. Current medical students can provide firsthand perspectives into the journey that is medical school while serving as role models for future physicians.
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Compared with other racial/ethnic groups, African Americans have higher rates of chronic conditions and suffer a disproportionate burden of disability. We aimed to examine the effects of social support on physical functioning among older African Americans. ⋯ Social support given and social support received as well as the ratio should be considered when seeking to understand how physical functioning changes over time among older African Americans.