Medicall I Associion - NCBI

JOURNAL OF THEg

Medicall IAssociionVolume 81, Number 12 C OT N T S

LETTERS TO THE EDITOR ....................................................... 1204

GUEST EDITORIALHelp for Healers with Student Loan Troubles, Michael Heningburg .............................. 1207

ORIGINAL COMMUNICATIONSThe National Medical Association and Our Challenges as We Enter the Next Decade,Vivian W Pinn-Wiggins ..................................................................... 1213

Psychiatric Morbidity and Health Problems Among Black Americans: A National Survey,Ernest H. Johnson ........................................................................ 1217

Minorities in the Health Professions: A Current Perspective, Thomas C. Watts and Pedro J. Lecca ... 1225

Nondrug Treatment of Hypertension: A Survey of Black Physicians in New York State,Eugene A. Paul and Donald H. Gemson ................ ..................................... 1233

NMA ACTIVITIESAnnual Address to the House of Delegates: National Medical Association's Leadership Role inMinority Health Issues, Frank E. Staggers ................ .................................... 1241

Awards Presented at the 94th Annual Convention .............................................. 1247

Presidents of the National Medical Association: 1895-1989 ...................................... 1251

CONTENTS Continued on next page

The Journal of the National Medical Association (ISSN 0027-9684) is published monthly for the National Medical Associa-tion by SLACK Incorporated, 6900 Grove Road, Thorofare, NJ08086. Telephone: 609-848-1000. Rates for non-controlledsubscriptions per year in the U.S.A. and Canada: $50.00,institutions $60.00, students and residents $35.00; for over-seas subscriptions $60.00, students $45.00, institutions$70.00. Subscription information and orders: The Journal ofthe National Medical Association, SLACK Incorporated, 6900Grove Road, Thorofare, NJ 08086; in Japan, Woodbell Incor-porated, 4-22-11, Kitakasai, Edogawaku, Tokyo 134. Copy-right © 1989 by the National Medical Association, Inc. All rightsreserved. Reproduction without specific permission is prohib-

ited. For reprint orders and prices, contact Joanne Pattersonat 609-848-1000. Second Class postage paid at Thorofare NJ08086, and at additional mailing offices. Postmaster: Changeof address to Journal of the National Medical Association,6900 Grove Road, Thorofare, NJ 08086. Statements andopinions expressed in articles and communications hereinare those of the author(s) and not necessarily those of theNational Medical Association, the Editor, or the Publisher ofthis journal. Neither the Editor, the Publisher, nor the NationalMedical Association guarantees, warrants, or endorses anyproduct or service advertised in this journal, nor do theyguarantee any claim made by the manufacturer of suchproduct or service.

CONTENTSl ff l Continued

CALL FOR PAPERS................. 1211

CALENDAR ................. 1240

BOOK REVIEWS................. 1259

INDEX ................. 1262

Classified Ads ........... 1275

Advertisers' Index ........... Cover 3

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IN!

Hospitals Founded To Serve Blacks. Newport NewsGeneral Hospital in Virginia was founded in 1908 underthe name of Whittaker Memorial Hospital. Originallylocated on 29th Street, Newport News General Hospital isnow located at 5100 Marshall Avenue. Photo by JohnSheally.

Articles in this journal are listed in Index Medicus,Current Contents, Psychological Abstracts, PsychInfo,and Excerpta Medica.

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JOURNAL OF THE

MedicoiLMJAssoc^iation

Conceived in no spirit of racial exclusiveness, fostering noethnic antagonism, but born of the exigenc ies o1 the Amner-ican environment, the National Medic al Association has forits object the banding together for mutual cooperation andhelpfulness the mien and women ofAfrican descent who arelegallv and honorably engaged in the practice of the prfe.s-sion of medicine-C. V. Roman, MD (1908)

JNMA Editorial Office1012 Tenth Street, NWWashington, DC 20001(202) 347-1895

Editor of the JournalCalvin C. Sampson, MD

Editor EmeritusW. Montague Cobb, MD

Assistant EditorsLeslie L. Alexander, MDAlyce C. Gullattee, MDAxel C. Hansen, MDGeorge H. Rawls, MDWalter W. Shervington, MD

Editorial BoardOrlando G. Rodman, MDAerospace & Military MedicineFloyd J. Malveaux, MDAllergy & ImmunologyJames Gilliam, Jr, MD, PhDAnesthesiologyRobert E. Taylor, MD, PhD, FACPBasic ScienceClaudia R. Baquet, MD, MPHCommunity Medicine & Public HealthClarence L. Wiley, MDDermatologyHenry Williams, MDFamily PracticeRay L. Henderson, MDInternal MedicineRoger L. Weir, MDNeurology-NeurosurgeryWashington C. Hill, MDObstetrics & GynecologyShelby R. Wilkes, MDOphthalmologyBuel Staggers, MDOrthopedicsLorenzo Brown, MDOtolaryngologyBillie Wright Adams, MDPediatricsDeborah L. Bernal, MDPhysical Medicine & RehabilitationStephen W. Gordon, MDPlastic & Reconstructive SurgeryRobert T.M. Phillips, MD, PhDPsychiatry & Behavioral SciencesElizabeth Patterson, MDRadiologyClive Callender, MDSurgeryJackson Davis, MDUrology

Publication CommitteeJames G. Bryant, MD, ChairpersonWinston S. Price, MD, Vice-ChairpersonRichard Honablue, MD, SecretaryCarl E. Allen, MDRichard 0. Butcher, MDJosephine Session, MDHarry W. Royal, MDShirley F Marks-Brown, MD

SLACKincomodSLACK Incorporated6900 Grove RoadThorofare, NJ 08086(609) 848-1000

Vice PresidenVPublisherRichard N. Roash

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Senior EditorSandra L. Patterson

Associate EditorMartha G. Johnson

Production CoordinatorJoanne Patterson

Marketing ManagerJohn C. CarterCirculation ManagerLester J. Robeson

Advertising Sales ManagerGeorge Jankowski

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Classified Advertising RepresentativeDonna Coles

Professoinal Use Information

(sucraHate) 1gm Tablets

BRIEF SUMMARYCONTRAINDICATIONSThereare no known contraindicalions to the use of sucrafate.PRECAUTIONSDuodenal ulerisa chronic,recurrent disease.UWhile hort-termr eatrnentwith sucrafate can result in complete healing of the ulec a successfulcourse of treatrent with suoaafate should not be expected to alter hepost-healing frequencyor severity of duodenal uleration.Dnrg Interactions: Animal studies have shown that simultaneou

administraton of CARAFATE (sucralfate) with tetracdine, phenytoin,digoxin,ordmeticinewil result in astatscaly signfiGantreduction in thebioavalabity of these agentsThe bioavaialaity of these agents may berestored simply by separating the administation of these agents fromthat of CARAFATE by two hours, This nterction appears to be non-systemic in ongn, presumnably resulting from these agents bang boundby CARAFATE in the gastronestinal tacThe diical significance ofteseanmral studies is yet to be defined. Howevec because offe poWntial ofCARAFATE to alter the absrpbon ofsomedrugs from the gastrointiusdnltract the separate administration ofCARAFATE from th of other agentsshould be considered when alterations in bioavaabbiity are fet to beoitical forconcomitantly administered drugs.

Carcinogenesis, Mutagenesis, Impairment of Fertility: Chronicoral toxioty studies of 24 mondt duration wereconducted in mice andrats at doses up to I gmTkg (12 tines the human dose There was noevidence of drug-relted tumorigeniot. A reproduction study in rats atdoses up tD 38 bmes the human dose cdd not reveal any indication offerlilt rrnpaiment Mutageniotyssudies were notcoduct

Pregnancy: Teratogeniceffect.PregnanyCategory B.Teratogenictystudies have been performed in mie, rats,and rabbitsatdoses upto 50btmes the human dose and have revealed no evidence of harm to thefetus due to sucraafate. There are, hcevev no adequate and well-controlled studies in pregnant women. Because animal reprodudonstudiesare notalways pedictvof human responsethisdug should beused duing pregnany only ddearly needed

Nursing Mothers: It is not known whete this drug is exaeted inhuman milk Because many drugs are excreted in human milk cautionshould be exerdsed when sucralfateis adminised to a nusingrwoman.

Pediatric Use: Safety and effectveness in children have not beenestabshed.ADVERSE REACTIONSAdversreacabons to sucralfate in dnica tls were nior and only rarelyled to dscontinuat ono thedruginsudies involvingca 2.500 patientrated wih sucralfattadverse effects werereported in 121 (4.7%,Constpation was the mostfequent complant (22%). Odweradve

effects reported in no more than one of every 350 patien wredrhaenauseA gastricdicomfortrdgestin , dry mouth, rash pruritus,badc pandiz ness,sleeplness,andvertigo.

AxiPnea cap) a) is a hadema of Eli lily and Comm nyrPeptd(Pamodine, MSD is a tWa kofMef Sbup&Nhmse. laduetdim)hisafdemark Smi eh .Zautaranifidnek )is a ademark fGlaxoPh naceulm s ikptcdve is a

ofMain labnores, c0 1989,MaenM aberao iesnc.Al dghtrs emA.

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JOUNALOF THE 19

Association1989-1990

OFFICERSPresidentVivian W. Pinn-Wiggins, MDWashington, DCPresident-ElectCharles Johnson, MDDurham, North CarolinaFirst Vice-PresidentElizabeth P. King, MDSt. Albans, New YorkSecond Vice-PresidentRichard 0. Butcher, MDSan Diego, CaliforniaThird Vice-PresidentWinston S. Price, MDBrooklyn, New YorkExecutive Vice-PresidentWilliam C. GarrettWashington, DCTreasurerAlma Rose George, MDDetroit, MichiganExecutive SecretaryWalter L. Faggett, MDSilver Spring, MarylandHOUSE OF DELEGATESSpeakerWalter W. Shervington, MDNew Orleans, LouisianaVice-SpeakerRandall C. Morgan, Jr, MDGary, IndianaSecretaryShirley F. Marks-Brown, MD, MPHHouston, Texas

CHAIRPERSONS OFNMA REGIONSFrancis E. Blackman, MDRegion ISouth Orange, New JerseyRichard Honablue, MDRegion 11Williamsburg, VirginiaEric A. Buffong, MDRegion IllJacksonville, North CarolinaWilliam E. Dougan, MDRegion IVDetroit, MichiganJosephine Session, MDRegion VHouston, TexasGreta F. Clarke, MDRegion VIBerkeley, California

BOARD OF TRUSTEESChairpersonYvonnecris S. Veal, MDSt. Albans, New YorkSecretaryTracy M. Walton, Jr, MDWashington, DCCarl E. Allen, MDSt. Louis, MissouriCheryl L. Birchette-Pierce, MDBrookline, MassachusettsParis Bransford, MDHouston, TexasRichard 0. Brown, MDDetroit, MichiganJames G. Bryant, MDSan Leandro, CaliforniaEzra C. Davidson, Jr, MDLos Angeles, CaliforniaSpencer C. Disher, Jr, MDOrangeburg, South CarolinaDelutha King, MDAtlanta, GeorgiaLeonard E. Lawrence, MDSan Antonio, TexasFloyd J. Malveaux, MDWashington, DCCharles B. Mcintosh, MDJacksonville, FloridaNathaniel Murdock, MDSt. Louis, MissouriJohn H. Norton, Ill, MDBerkeley, CaliforniaEdith C. Reid, MDSt. Albans, New YorkHarry W. Royal, MDRichmond, VirginiaJaime Smith e Incas, MDColumbus, OhioFrank E. Staggers, MDOakland, CaliforniaGuthrie L. Turner, MDSteilacoom, WashingtonErrol Warner, MDPlainfield, New JerseyHenry W. Wiggins, Jr, MDChicago, Illinois

CALL FOR PAPERSNational Medical Association Scientific Assembly

Las Vegas, NevadaJuly 28 - August 2, 1990

The National Medical Association will hold its 95th Scientific Assembly in Las Vegas, Nevada, from July 28 -August 2, 1990, at the Bally Grand Hotel. General Session and Specialty Section Presentations will be made by expertsin their fields, including members and invited speakers.

Practicing physicians, basic scientists, residents, and fellows are invited to submit abstracts of presentations theywish to present during the program. The abstracts will be reviewed for approval by the designated program committee.

Abstracts of planned lectures should be forwarded to the Director ofCME, National Medical Association, 1012 TenthStreet, NW, Washington, DC 20001 by no later than March 15, 1990.

Abstracts should be approximately 200 words in length and typed single-spaced. See abstract form on the followingpage.

Call for Papers from Practicing Physicians and Basic ScientistsPhysicians and basic scientists are invited to submit abstracts of papers to be considered for presentation during the

Section Program of the National Medical Association.

General InformationTopics which report clinical experiences in laboratory or clinical research likely to interest the practicing physician

are welcomed.

Call for Papers from Residents and FellowsResidents' PresentationThe Program Committee of the National Medical Association invites residents to submit abstracts of papers to be

considered for presentation in the Residents' Forum of the various specialty sections.

General InformationPapers will be selected with preference given to those that present investigative results of clinical significance.Transportation and lodging will be provided for residents attending the meeting who have submitted papers by

May 15, 1990, chosen by abstract submitted on or before March 15, 1990.Selection of first-, second-, and third-prize winners of the competition will be made by the Program Committees

primarily from the submitted paper and related material. However, apparent awareness of paper content and excellencein presentation will influence the final decision of the Committee. Final papers must be submitted by May 15, 1990.

Papers presented by residents are eligible for recommendation for publication in the Journal.

Call for Abstracts for Poster PresentationAuthors are invited to submit scientific exhibits by poster of clinical and basic science research or reports of

experiences. Deadline March 15, 1990.

1211

Abstract Submission Sheet1990

National Medical Association Scientific AssemblyJuly 28 - August 2,1990, Las Vegas, Nevada

Check: Abstract Resident Poster

Please Type All Information (Please review carefully the instructions provided)

A. Title of Abstract:B. Author/Co-Author(s):

SeniorAuthor: Name

First

Street

NMA Member: Yes O

Co-Author(s): Name

FirstSend to:William E. MatoryNational MedicalAssociation1012 Tenth Street, NWWashington, DC 20001

Abstract:200 wordsor less, single-spaced

C. Specialty Section (check one)O Aerospace and Military MedicineEl Allergy and ImmunologyDG AnesthesiologyOlI Basic ScienceEI Community MedicineOl DermatologyC] Family Practice

city

Middle

State

Last

Zip

- Degree

Phone: (0)

(H)

No El Resident E

Middle LastDegree

OI Internal Medicine Oi PediatricsLO Neurology and Neurosurgery Eli Physical Medicine and RehabilitationEli Obstetrics-Gynecology El Plastic & Reconstructive SurgeryLii Ophthalmology Ln Psychiatry and the Behavioral SciencesO Orthopedics El RadiologyLIi Otolaryngology-Head and Neck Surgery El Surgery

EOi Urology

D. Audio Visual Requirements:Eli Slide Projector (2x2) EOi Electric Pointer El Other (please specify

Signature Date

I hereby authorize the National Medical Association and its assigned company permission to tape-record my presentation(s) asdelivered at the indicated proceedings. It is understood that the audiocassette reproductions of my speech(es) will be sold anddistributed to those who wish to obtain this information.

Join NIMIA Today!...... "The National Medical Association has existed since 1885, with its primary objectives being

'the promotion of the science and art of medicine and the betterment of the public health.' Itwelcomes as members all who share these ideals for the delivery of adequate and appropriatehealth care, especially for those who are medically underserved and disparately affected bypotentially preventable or curable diseases. The NMA serves as a voice for those who areconcerned about equitable opportunities for the minority health provider and equitableaccess to health care for all Americans. TO BE SUCCESSFUL, OUR ORGANIZATIONNEEDS YOU!"

Dr. Vivian W. Pinn-Wiggins, President of the National Medical Association.

Vivian W. Pinn-Wiggins, MD WE OFFER THE FOLLOWING BENEFITS TO MEMBERS OF NMA:

* Courtesy subscriptions to the monthly Journal of the National Medical Association and quarterly NMANewsletter.

* Reduced member registration fees to the NMA's Annual Convention and Scientific Assembly, as well as to otherregional, state, and local scientific meetings.

* Educational programs for Category 1 credit in over 20 medical specialty areas.

* Advocacy ir Congress and government agencies.

* Group life i! !surance and car rental discounts.

NATIONAL MEDICAL ASSOCIATION 1989 DUES SCHEDULERegular Members: New Member Physicians applying for membership with application before 5/30 ..... ............. $310.00

New Member Physicians applying for membership with application after 5/30 .................... $360.00New Physicians Payment Plan. Special payment plans are available upon request for new physicians.First Year in Practice ................ $110.00 Second Year in Practice .$210.00

Military Members Physicians on active duty with military ............................ $160.00

Associate Members: Doctoral level faculty or administrators at recognized medical education and service institutions.Physician members of chartered medical societies of foreign countries engaged in medical missionary, educationalor similar work ........................... $120.00

Residents/Fellows ... $30.00Medical Students ... $15.00

Please note that you must also pay your local constituent and/or component society dues, where applicable, for full membership in theNMA.

NMA Membership ApplicationPERSONAL DATA:Last Name First Middle/Maiden-Home AddressCity/State/Zip Area Code/Home Phone oBusiness AddressCity/State/Zip Area Code/Business PhonePlease indicate your mailing preference: LO home OI businessMale LII Female Date of birth Place of birthSocial Security #Specialty:

El Dues Check Enclosed O Charge Dues to Credit Card Dues are Tax Deductible.Credit Card Account Number Expiration Date

I authorize NMA to charge my L VISA LII MasterCardLI AMEX LI Diners month year

I hereby apply for membership in the National Medical Association, and do hereby agree to abide by the laws governing the organization.Signature:

Mail to: NMA 1012 10th St., N.W., Washington, D.C. 20001 Date

CALENDAR

January 1990Training Workshop for ConfrontingAIDS in the Black CommunityEducational Programs. HiltonHead, South Carolina. Date to beannounced. Call 301-230-3442.

January 15 and February 1990Activities in Honor of the Birthdayof the Rev Dr Martin Luther King,Jr, and Black History Month.

February 16-20, 1990Region I-NMA Annual Scientificand Business Meeting. Medicine inthe Nineties and Beyond. Barbados.Travel plus lodging $799. Call AstralTravel 718-629-2222. For informa-tion, call 201-672-7972.

March 2-4, 1990NMA Board of Trustees. Las VegasBally's Casino Resort, Las Vegas,Nevada.

April 27-29, 1990NMA Board of Trustees. Washing-ton, DC.

May 3-7, 1990Fifth International InterdisciplinaryConference on Hypertension inBlacks. Longbeach, California. Call404-589-3810.

May 25-27, 1990Tentative Date for Annual Meetingof Region II-NMA, Atlantic City,New Jersey.

June 1990The Volunteer State Medical Associ-ation 86th Annual Scientific Session.Memphis, Tennessee. Call 901-527-1153.

July 9-12, 1990National Assembly on Addictive Dis-orders: Enlisting Scientific Knowl-edge in the War on Drugs. Spon-sored by the Vesper Society Group,AMA, APHA, and others. Washington,DC area. (Tentative) Call 415-633-0666.

July 28-August 2, 1990The 95th Annual Convention andScientific Assembly of the NationalMedical Association. Bally GrandHotel, Las Vegas, Nevada.

November 199085th Anniversary Banquet of theProvident Clinical Society ofBrooklyn. Brooklyn, New York.

FUTUREJuly 1991The 96th Annual Convention ofNMA. Indianapolis, Indiana.

July or August 1991The 6th International Interdiscipli-nary Conference on Hypertension inBlacks. Brazil.

July 1992The 97th Annual Convention ofNMA. Hawaii.

July 1995The 100th Annual Convention ofNMA: The Centennial Celebration.Atlanta, Georgia.

Send information about coming eventsfor the Calendar to Theresa GreeneReed, MD, MPH, 11516 Patapaco Dr.,Rockville, MD 20852 or call 301-468-6830.

1240 JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION, VOL. 81, NO. 12

ANNUAL ADDRESS TO THE HOUSEOF DELEGATES: NATIONALMEDICAL ASSOCIATION'SLEADERSHIP ROLE IN MINORITYHEALTH ISSUESFrank E. Staggers, MD87th PresidentNational Medical AssociationOakland, California

Mr Speaker, Members of the House of Delegates,Ladies and Gentlemen, I wish to thank you for thishonor of serving as your President for the past year.

In the tradition of previous Presidents, the NMA'svoice continues to be heard and listened to in matters ofhealth. I am pleased to report that NMA has continuedits leadership role as the organization for minorityhealth concerns and issues.My thanks to our Past Presidents for their words of

wisdom. I am especially grateful to Drs VertisThompson, Phillip Smith, Lucius Earles, and JesseBarber. Last, but not least, I want to mention mydeceased mentor, Dr Julius "Pluke" Hill. My deepappreciation to the NMA Officers and members of theBoard of Trustees for all of their help in furthering ourmission, especially our President-Elect, Dr VivianPinn-Wiggins, and Second Vice President, ElizabethKing.A major goal this year has been to institutionalize our

network with other organizations both in the public andprivate sectors and particularly with active community-based groups, such as ministers, the National DentalAssociation, National Bar Association, NAACP, UrbanLeague, and National Black Nurses. The NationalBlack Nurses has its national office in our Washington

Presented to the House of Delegates at the 94th AnnualConvention and Scientific Assembly of the National MedicalAssociation, Orlando, Florida, July 15, 1989. Requests forreprints should be addressed to Dr Frank E. Staggers, 5900Shattuck Ave, Oakland, CA 94609.

headquarters, and we have been negotiating with theNational Dental Association.

Your President has met individually with many ofthe National Presidents. I have attended two majorminority health summits this year. From April 20 to 23,1989, I attended and participated in the NationalAfrican/American Summit "1989" in New Orleans,Louisiana. On April 24, 1989, I attended the NationalBlack Health Summit convened by Congressman LouisStokes in Washington, DC. This organization appearsto be a loose network of 42 representatives of nationalorganizations whose work may filter down to coopera-tive efforts at state and local levels.

Having helped in 1976 to establish in Oakland,California, a network between members of the localNMA chapter (Sinkler-Miller) and the religious com-munities, I recommended last year that such an effortbe made with the NMA. This network became known asthe NMA Physician Pastor Project.

Toward that goal, a pilot project was initiated inWashington, DC. The Project is named: NMA, Med-Chi, and Howard University Provider Project of DC. Itstarted with some new projects, expansion of someexisting projects, and planning for future projects. Itwas initiated by Med-Chi through Dr Alyce Gullattee,former Med-Chi President; John Staggers; four profes-sors of sociology from Howard University and direc-tors of DC Networkers of Christian Affairs, Inc; and DrJesse Barber from the Council on Medical Legislationof the NMA and from Social Medicine of HowardUniversity College of Medicine.

JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION, VOL. 81, NO. 12 1241

PRESIDENT'S ANNUAL ADDRESS

That pilot project has been an outstanding success. Itwas officially endorsed by the University and has hadthe participation and assistance of various units of theHoward University faculty. The components of theproject are, to date, the Training Program for Church-Based Nursing Units developed under the leadership ofMs Janice Crouch, Nurse Administrator at MargaretWashington Nursing School and President of theNursing Unit at Temple Baptist Church, and DrBeatrice Adderly-Kelly, Associate Professor in theCollege of Nursing at Howard University. The localAmerican Red Cross has provided the facilities,instructors, and materials for this course.

Other projects include:1. Developing a manual with guidelines to encourage

churches to carry out annual health fairs;2. Assisting the Religious Subcommittee of the Organ

Donor Project to make educational presentations atvarious churches and encourage the members of thecongregation to sign organ donor cards. Presenta-tions have been made to more than 88 churches byDr Clive Callender and various other members;

3. Endorsing and participating in the Annual HealthEducation Seminars for the Clergy under thedirection of Dr William Matory, Director ofContinuing Medical Education at Howard Univer-sity College of Medicine;

4. Assisting Howard University Hospital and theMedical Director, Dr Vincent Roux, to examineapproximately 200 students who are participants inthe Jabbo-Kenner Football League at the request ofReverend John Staggers; and

5. Providing episodic health care to members of thestaff of Prison Fellowship of Reverend Staggers.

In addition, proposals are being prepared to combatother crucial issues that affect the community. Congrat-ulations and thanks to all of those who have worked sohard to make this program a success.

Your President has continued to search for "Targetsof Opportunity." Our AIDS grant, so ably carried outunder the inspired leadership of our Immediate PastPresident, Dr John Joyner, provided such an opportu-nity. It allowed for formal meetings with the localofficers, executive committees, and NMA members tomeet and engage in lengthy discussions with yourPresident and otherNMA Officers. The typical agenda:1. We are from the NMA and we are here to help you.2. What are your measurable goals and objectives for

the year? What problems are you having?3. What are the community-based organizations you

network with, if any, and how do you network?

4. What cooperative efforts are you engaged with inthe ANMA?

5. Do you have an NMA local media program?6. What political and legislative activities are you

conducting?7. What programs do you have that you believe are of

service to the community?8. Are you involved with school-based clinics in your

community?The agenda allowed for a thorough discussion of issueswith problem-solving and guidance. Recommendationswere recorded and reported to the Board of Trustees foraction.

Let me take this opportunity to thank Dr Joyner,Chairman of NMA AIDS Advisory Committee; DrVirginia Caine and Dr Walter Shervington, PrincipalInvestigators; and Maxima Corporation for their sin-cere, dedicated efforts to make the AIDS project theunique success that it has been in educating ourmembers.

In addition, a task force of NMA members led by DrBennie Primm and Dr Walter Shervington, supportedin part by the Office of Minority Health, developedrecommendations for combating AIDS in the blackcommunity. These recommendations were subse-quently adopted by the NMA Board of Trustees aspolicy. We have continued to develop closer ties withresidents and students both at the national, state, andlocal levels. During our AIDS seminars, many of thelocal chapters and especially the ANMA local or statechapters had health forums for minority and blackyouths.

In addition, our local officers were asked to inviteresidents and medical students to meet with the NMA'sPresident and Officers in their sessions.

I am particularly indebted to the Cook CountyPhysicians Chapter, the Maryland State Chapter, andits affiliates for providing outstanding meetings. I havedeemed it a privilege to be able to work closely with thenew SNMA President, Victor Freeman. Mr Freemanwas installed at a very successful 25th Anniversary ofSNMA in Chicago, Illinois.Our political and legislative programs have contin-

ued, due in large part to the efforts of the Council onMedical Legislation with Dr Reed Tuckson, Chairman;Dr Jesse Barber, Secretary and "Chief Work Horse";and staff provided by Ron Hester, PhD. This year twomembers of ANMA were added to that Council.We have attempted to expand our visibility at the

Department of Health and Human Services with thepresent administration and with our legislators. We


PRESIDENT'S ANNUAL ADDRESS

have cooperated with the Office of Minority Health inaddressing the diseases that disproportionately killblacks. Our appreciation to Herbert Nixon and WarrenHewitt.We have increased the number of NMA representa-

tives appointed to many of the Advisory Committees,especially with the National Cancer Institute, ie,National Black Leadership Initiatives on Cancer,National Cancer Control Research Network, observerand participant to the National Cancer Advisory Board,to name a few. We are indebted to the Honorable LouisSullivan, Barbara Bynum, Director of ExtramuralAffairs, and Dr Claudia Baquet, just to single out a few.A highlight was the signing of a Memorandum of

Agreement between the National Cancer Institute andthe National Medical Association regarding CancerPrevention and Control in the Black Community at theSmithsonian Institute on April 6, 1989. A similarmemorandum was also signed by ANMA. Our Secretaryof DHHS, Dr Louis Sullivan, attended. Our commen-dations to Linda Bass of NCI and her staff, who werethe principal architects of the agreements. Copies ofthat memorandum are available to the members of theHouse. NMA screening projects have been and con-tinue to succeed due to:* Dr John Joyner and his staff of "Indianapolis"* Representatives from the Department of HealthResources and Services Administration, particularlyDr Audrey Manley and Pat Daugherty

* Marion Laboratories* Participation by local NMA chapters and membersand allied health organizations

* National NMA representativesMy thanks to all who have helped in these efforts.Mrs Lillian Calhoun and the staff of Calmar, our

public relations firm, have worked hard in helping toprepare releases that present NMA in an exemplarymanner on timely and appropriate health issues.A small but dedicated NMA staff led by "Bill"

Garrett continues to accomplish miracles. Thanks, Bill.The Scientific Assembly, Section Chairs, and DrWilliam Matory are due a vote of thanks for thepostgraduate courses and the scientific sessions.

I would like to close by giving "the anatomy" of asuccess story. Last year at the House of Delegates ayoung medical student presented a concept of aNational Minority Mentor/Recruitment Network. Shefollowed up with phone calls, and subsequently a draftproposal in September 1988 was forwarded to thePresident. The concept was approved and endorsed bythe NMA Board of Trustees at its October 1988meeting. Subsequent meetings with health resourcesand service administration representatives ensued. And"lo and behold" the signing of a one-year grant of$199 981 to fund this proposal. That, Ladies andGentlemen, is how an idea is presented, nurtured,encouraged, and finally, after the work of manyindividuals, becomes fruitful. Of course, I am speakingof Anita Jackson, fourth-year medical student fromIllinois.

Again, my sincere thanks and appreciation to thosewho have been instrumental in helping your Presidentthis year. "You know who you are, and so do I!"


NMA AWARDS PRESENTED AT THE94TH ANNUAL CONVENTION

SCROLL OF MERITThe Scroll of Merit was awarded to the following persons by the National Medical Association at the Public

Welcome and Awards Ceremony of the 94th Annual Convention and Scientific Assembly of the National MedicalAssociation on Saturday, July 15, 1989, Orlando, Florida.

Louis W. Sullivan, MD, Secretary, US Department of Health and Human Services.Shirley M. Malcom, PhD, Head, Directorate for Education and Human Resources Programs of the American

Association for the Advancement of Science.William C. Garrett, Executive Vice President, National Medical Association.

CERTIFICATE OF APPRECIATIONClaudia R. Baquet, MD, MPH, Chief, Special Populations Studies Branch, Division of Cancer Prevention and

Control, National Cancer Institute.Linda Bass, Director, Minority Health Education Program Officer of Cancer Communications.Paul F. Mndergrift, Jr, Director of Educative Services, University of North Carolina Center for Public

Television.Ronald D. Hester, PhD., Assistant Professor, School of Business and Public Health Administration, Department

of Health Services Administration, Howard University.

OUTSTANDING CHAPTER AWARDSThe outstanding large constituent society award was presented to the Medico-Chirurgical Society of

Washington, DC.The outstanding large constituent society award was presented to the Medical Society of

Eastern Pennsylvania, Philadelphia, Pennsylvania.

PRACTITIONER OF THE YEAR AWARDThe Practitioner of the Year Award was presented to Clive 0. Callender, MD, of Washington, DC

AWARD FOR NATIONAL AND INTERNATIONAL ACHIEVEMENT IN MEDICINEW. Montague Cobb, MD, PhD, Distinguished Professor of Anatomy, Emeritus, Howard University and Editor

Emeritus, Journal of the National Medical Association.


AWARDS

DISTINGUISHED SERVICE AWARDThe Distinguished Service Award was presented to Reed V. Thckson, MD, of Washington, DC

The following is the list of recipients of theDistinguished Service Medal of the NMA:

1944 -Walter Gilbert Alexander,Orange, New Jersey

1945-No award made-World War II1946-John Patrick Turner,

Philadelphia, Pennsylvania1947-John Edward Perry,

Kansas City, Missouri1948-No award made1949-Ulysses Grant Dailey,

Chicago, Illinois1950-Charles Richard Drew,

Washington, DC (posthumous)1951 -Rivers Frederick,

New Orleans, Louisiana1952-Miles Vandahurst Lynk,

Memphis, Tennessee1953-Grossi Hamilton Francis,

Norfolk, Virginia1954-Peter Marshall Murray,

New York, New York1955-William Montague Cobb,

Washington, DC1956-Daniel Thomas Rolfe,

Nashville, Tennessee1957-John Talmage Givens,

Norfolk, Virginia1958-Leonidas Harris Berry,

Chicago, Illinois1959-Matthew Walker,

Nashville, Tennessee1960-John Beauregard Johnson,

Washington, DC1961-Thomas Manuel Smith,

Chicago, Illinois1962-Eugene Heriot Dibble, Jr,

Tuskegee, Alabama1963-Robert Lee Jackson,

Baltimore, Maryland1964-Hildrus Augustus Poindexter,

Washington, DC1965-Kenneth Witcher Clement,

Cleveland, Ohio1966-Ronald Boyd Scott,

Washington, DC

1967-William Edward Allen,St. Louis, Missouri

1968-Leroy Randolph Weekes,Los Angeles, California

1969-Robert Steward Jason,Washington, DC

1970-Earl Belle Smith,Pittsburgh, Pennsylvania

1971-Julius Wanser Hill,Los Angeles, California

1972-Allison Burney Henderson,Detroit, Michigan

1973-Herman Alladin Barnett,Houston, Texas

1974-Leslie Luther Alexander,Brooklyn, New York

1975-Edward Craig Mazique,Washington, DC

1976-James Malachi Whittico, Jr,St. Louis, Missouri,and Lloyd C. Elam,Nashville, Tennessee

1977-Fred A. Fayne,Kansas City, Missouri

1978-Charles Harry Epps,Washington, DC

1979-LaSalle Doheny Leffall,Washington, DC

1980-Arthur T. Davidson, Sr,Brooklyn, New York

1981-Charles C. Bookert,Clairton, Pennsylvania

1982-Robert Edward Dawson,Durham, North Carolina

1983-Frank P. Lloyd,Indianapolis, Indiana

1984-Jesse B. Barber,Washington, DC

1985-E. Mae McCarroll,Miami, Florida

1986-Frank E. Staggers,Oakland, California

1987-William E. Matory,Washington, DC

1988-Phillip M. Smith,Los Angeles, California

1989-Reed V. Tuckson,Washington, DC


Presidents of the National MedicalAssociation: I 895*I 989

Robert F. Boyd, MDNashville, Tennessee 1895-1897

H.T. Noel, MDNashville, Tennessee 1898-1900

O.D. Porter, MDBowling Green, Kentucky 1901-1902

F.A. Stewart, MDNashville, Tennessee 1903

Charles V. Roman, MDDallas, Texas 1904

John E. Hunter, MDLexington, Kentucky 1905

R.E. Jones, MDRichmond, Virginia 1906

Nathan F. Mossell, MDPhiladelphia, Pennsylvania 1907

W.H. Wright, MDBaltimore, Maryland 1908

P.A. Johnson, MDNew York, New York 1909

Marcus F. Wheatland, MDNewport, Rhode Island 1910

Austin M. Curtis, MDWashington, DC 1911

H.F. Gamble, MDCharleston, West Virginia 1912

John A. Kenney, Sr, MDTuskegee Institute, Alabama 1913

A.M. Brown, MDBirmingham, Alabama 1914

F.S. Hargraves, MDWilson, North Carolina 1915

Ulysses G. Dailey, MDChicago, Illinois 1916

D.W. Byrd, MDNorfolk, Virginia 1917

George W. Cabaniss, MDWashington, DC 1918

D.A. Ferguson, DDSRichmond, Virginia 1919

J.W. Jones, MDWinston-Salem, North Carolina 1920

John P. Th6rner, MDPhiladelphia, Pennsylvania 1921

H.M. Green, MDKnoxville, Tennessee 1922

J. Edward Perry, MDKansas City, Missouri 1923

John 0. Plummer, MDRaleigh, North Carolina 1924

Michael 0. Dumas, MDWashington, DC 1925

Walter G. Alexander, MDOrange, New Jersey 1926

Carl G. Roberts, MDChicago, Illinois 1927

C.V. Freeman, DDSJacksonville, Florida 1928

T. Spotuas Burwell, MDPhiladelphia, Pennsylvania 1929

L.A. West, MDMemphis, Tennessee 1930

W.H. Higgins, MDProvidence, Rhode Island 1931

Peter M. Murray, MDNew York, New York 1932

G. Hamilton Francis, MDNorfolk, Virginia 1933

Midian 0. Bousfield, MDChicago, Illinois 1934

John H. Hale, MDNashville, Tennessee 1935

W. Harry Barnes, MDPhiladelphia, Pennsylvania 1936

Roscoe C. Giles, MDChicago, Illinois 1937

Lyndon M. Hill, MDAtlanta, Georgia 1938

George W. Bowles, MDYork, Pennsylvania 1939

Albert W. Dumas, Sr, MDNatchez, Mississippi 1940

Arthur N. Vaughn, MDSt. Louis, Missouri 1941

Henry Eugene Lee, MDHouston, Texas 1942

T. Manuel Smith, MDChicago, Illinois 1943

Emory I. Robinson, MDLos Angeles, California 1944-1945

continued on page 1255


PRESIDENTS

continued from page 1251

Walter A. Younge, MDSt. Louis, Missouri 1946

J.A.C. Lattimore, MDLouisville, Kentucky 1947

C. Austin, Whittier, MDSan Antonio, Texas 1948

C. Herbert Marshall, MDWashington, DC 1949

Henry H. Walker, MDNashville, Tennessee 1950

Joseph G. Gathings, MDWashington, DC 1951

Whittier C. Atkinson, MDCoatesville, Pennsylvania 1952

A. Porter Davis, MDKansas City, Kansas 1953

Matthew Walker, MDNashville, Tennessee 1954

A.C. Terrence, MDOpelousas, Louisiana 1955

T.R.M. Howard, MDChicago, Illinois 1956

Arthur M. Townsend, Jr, MDSt. Louis, Missouri 1957

R. Stillmon Smith, MDMacon, Georgia 1958

Edward C. Mazique, MDWashington, DC 1959

James T. Aldrich, MDSt. Louis, Missouri 1960

Vaughan C. Mason, MDNew York, New York 1961

John A. Kenney, Jr, MD*Washington, DC 1962

Kenneth W. Clement, MDCleveland, Ohio 1963

W. Montague Cobb, MD*Washington, DC 1964

Leonidas H. Berry, MD*Chicago, Illinois 1965

John L.S. Holloman Jr, MD*New York, New York 1966

Lionel F. Swan, MD*Detroit, Michigan 1967

James M. Whittico, Jr, MD*St. Louis, Missouri 1968

Julius W. Hill, MDLos Angeles, California 1969

W.T. Armstrong, MDRocky Mount, North Carolina 1970

Emerson C. Walden, MD*Baltimore, Maryland 1971

Edmund C. Casey, MD*Cincinnati, Ohio 1972

Emery L. Rann, MD*Charlotte, North Carolina 1973

Vernal G. Cave, MD*Brooklyn, New York 1974

Jasper F. Williams, MDChicago, Illinois 1975

Arthur H. Coleman, MD*San Francisco, California 1976

Charles C. Brookert, MD*Clairton, Pennsylvania 1977

Jesse B. Barber, Jr, MD*Washington, DC 1978

Robert E. Dawson, MD*Durham, North Carolina 1979

Vertis R. Thompson, MD*Oakland, California 1980

Frank S. Royal, MD*Richmond, Virginia 1981

Robert L.M. Hilliard, MD*San Antonio, Texas 1982

Lucius C. Earles, III, MD*Chicago, Illinois 1983

Phillip M. Smith, MD*Los Angeles, California 1984

Edith Irby Jones, MD*Houston, Texas 1985

John 0. Brown, MD*Miami, Florida 1986

John E. Joyner, MD*Indianapolis, Indiana 1987

Frank E. Staggers, MD*Oakland, California 1988

Vivian W. Pinn-Wiggins, MD*Washington, DC 1989

Honorary Members of theNMADr Harold D. WestProfessor of Biochemistry and FormerPresidentof Meharry Medical CollegeNashville, TennesseeCharles W. Mayo, MDChairman Emeritus, Section onSurgeryThe Mayo ClinicRochester, MinnesotaWalter M. Booker, PhDWashington, DCWilliam H. Stewart, MD*Former Surgeon General, US PublicHealthService Department of Health,Education, and WelfareSolomon B. Asea, MD*fbrmer Ambassador from Uganda tothe United StatesLoy Kirkpatrick, LLD*Washington, DCCharles C. MorchandNew York, New York

*Living


INDEX, VOLUME 81,198

AUTHORS

Achilihu, Akolam G.; April, 365Adebimpe, Victor R.; July, 761Adebonojo, Samuel A.; May, 547Adekile, Adekunle D.; August, 866

October, 1071Adeyemi, J.D.; July, 805Ahmed, fieroz; August, 849Ahmed, Osman I.; March, 237 June,

653Aina, Olayinka; April, 365Al-Dayel, F.; October, 1061Ali, Nayab; May, 493Allen, David; May, 557Allen, Elsie M.; March, 325Alonso, Daniel R.; October 1033Amin, Ifran; June, 677Anderson, B.; July, 785Anokute, Charles C.; March, 293Applegate, William B.; (Suppl.) April,

25Aquino, Norma M.; March, 331Armstrong, Milton B.; September,

1001Arthur, Danette; March, 285Ausman, Robert K.; October, 1065Austin, Donald F.; April, 437

Bahakem, Hassan M.; September, 937Baker, FM.; September, 987Baker, Herbert L.; November, 1169Banks, Tazewell; May, 493Barnes, George, Jr.; June, 633Barnwell, Sidney; March; 269Barrios, Eugenio; August, 844Bassett, Lawrence W.; April, 391Bastawros, Mary; June, 677Batra, Poonam; February, 129 June,

680 July, 809 August, 857Baumgartner, Fritz; October, 1091Bell, Carl C.; March, 246

Bellvue, Rita; January, 91Benjamin, Georges C.; April, 355Bennett, Barbara; November, 1157Blanchard, Bernard; July, 755Blanchard, Guy; July, 755Bock, George; November, 1184Bond, Otis; May, 499Bonney, George; May, 557Bowen, Donnell; October, 1049Bowser, Benjamin P.; May, 538Brenner, Sheldon L.; February, 183Brown, C. Perry; March, 237Brown, James; July, 785Brown, Kathleen; February, 129 June,

680 July, 809 August, 857Brown, Malrie; July, 769Bryan Patrick J,; January, 87Bunnell Daniel H.; April, 391Butala, Atul; April, 457Butler, Harold; January, 87Byrd, Sharon E.; August, 873 Septem-

ber, 961Callender, Clive O.; May, 499Canady, Jerome; June, 669Carr, Charles M.; February, 137Carr, Peggy G.; June, 685Carter, James H.; June, 663Carter, James P.; May, 557Carter, Joye M., December, 1204Chaco, Lena; April, 365Chalfm, Donald; August, 844Chambers, Donald C.; June, 701Chaney, Hollis; March, 263Chang, Shih-Wen; April, 460Chapatwala, Kirit D.; February, 137Chenet, B.P.; November, 1149Clark, Charles H.; April, 396Clark, John FJ.; September, 969Cobb, W. Montague; April, 434Cohen, Eric; July, 761

Collins, James D.; February, 129June, 680 July, 809 August, 857October, 1041

Cooper, Richard; April, 365 April, 415Coopwood, Reginald W.; April, 402Cordice, John W.V., Jr; May, 533

November, 1184Coupet, Edouard; May, 567Cowan, Claude L., Jr.; May, 609Crade, Michael; September, 954Cregler, Louis L.; January, 27 July,

820Dais, Kenneth; May, 493Daling, Janet R.; February, 159 Sep-

tember, 928Davis, Matilda; November, 1116de la Monte, Suzanne M.; June, 644Densler, J.; February, 212Doherty, Barbara; October, 1065Domurat, Edward S.; April, 357Dosik, Harvey; January, 91Dugue, Gabriel; November, 1184Dummett, Clifton O.; March, 307Dunston, Georgia M.; May, 499Eliakim, Rami; January, 93Elias, Alan N.; April, 357Engelhardt, Tod; October, 1077Epps, Howard R.; August, 885 Sep-

tember, 975Etheredge, Edward E.; October, 1077Farmer, Madeline W.; September, 950Feldman, Herman; March, 299Ferdinand, Keith C.; (Suppl.) April, 31Fink, Robert; March, 263Fischer, Howard; February, 183Fitzpatrick, Sherahe Brown; March;

263Flores, Josefina; May, 499Floumoy, D.J.; January, 49



INDEX TO VOLUME 81

continued from page 1262October, 1061

Floyd, John B., Jr., April, 351Forbes, Betty Ann; May, 541Ford, Earl; April, 365Forrest, Katherine A.; February, 159

September, 928Francis, Rupert; February, 143 No-

vember, 1141Freeman Harold; May, 525Friis, Robert; April, 357Garces, Nila; April, 557Gay, William A., Jr.; October, 1033Gear, J.C.; May, 499Gemson, Donald H.; December, 1233Gerald, Gilberto; April, 449Getson, Pamela; March, 263Giedinghagon, Dale; November, 1116Glazer, Eva R.; April, 437Gletten, Fred; April, 421Gluckman, Robert J.; February, 119Gold, Richard H.; April, 391Goldstein, Jonathan; August, 844Good, Roger R.; January, 41Gorsline, John; May, 541Graves, Warren A.; October 1041Guarneri, Joseph J.; February, 119Habte, Demmissie; May, 557Hall, Laura; January, 49Hammonds, Karl E.; June, 629Hardy, Robert E.; May, 518Harmon, Gary L.; October 1071Harrison, Bernard; October 1033Haycock, Joel; April, 405Haynes, M. Alfred; March, 237Hecht, Elaina; June, 677Hecht, Yehuda; May, 541Henderson, Donald R.; April, 421Heningburg, Michael; December,

1207Henry, Joseph L.; February, 201Higgins, Patrick D.; July, 799Hoff, Gerald L.; November, 1116Hoffman, Arthur; April, 415Hollis, V.W. Jr.; November, 1149Hoover, Eddie L.; March, 269 April,

464 June, 669 July, 777 August,912 October, 1033 November 1177

Hsu, Hwei-Kang; April, 464 August,912

Humphries, Martin J.; October, 1049Hussein, Said S.; September, 937Hutcherson, Kenneth; November, 1116

Hutchins, Grover M.; June, 644Ikpeazu, Emeka V.; May, 518Ikuesan, B.A.; July, 805Jackson, John B., Jr.; April, 437Jacob, Teresa C.; July, 769Jacobs, Lenworth M.; November 1157Jahanshahi, Reza; April, 391Jenkins, Esther J.; March, 246John, Daniel; May, 499Johnson, Ernest H.; May, 573 Decem-

ber, 1217Johnson, Houston; August, 844Johnson, Linda F.; April, 437Johnson, Steve; April, 382Jordan, Harold W.; March, 231 Sep-

tember, 950Joseph, Christine L.M.; January, 57Kalra, Jagmohan; April, 457Kang, Y-H.; November, 1149Kannan, Shantha R.; March, 325Karkala, Jeevan; February, 212 June,

711 October, 1095Kelly, Earl L.; February, 143Kelly, Margaret J.; April, 453Khan, Abdul J.; June, 677Kiefer, Gerhard N.; January, 65Klein, Gail; January, 49Kleinfeld, Morris; April, 373Kofie, Vincent; November, 1125Koger, L.; November 1177Kong, B. Waine; (Suppl.) April, 13Kosoko, Omofolasade; May, 609Koumoundouros, Ipatia; July, 799Kumar, Arbind; January, 91Kumar, P. Pradeep; January, 41Lacey, Loretta; April, 415Lawal, O.; August, 866Lazaro, Eric J.; January, 81Lazcano, Oscar; May, 601Lecca, Pedro J.; December, 1225Lee, Sung; April, 373Lefall, LaSalle D., Jr.; July, 785Leung, Alexander K.C.; January, 65Levin, Jeffrey S.; March, 253Levy, Martin E.; November, 1125Lewis, Cornell; March, 299Libson, Eugene; January, 93Lowery, Robert C., Jr.; March, 275Luber, John; May, 533Lubin, A. Harold; March, 253Lulseged, S.; May, 557Mann-Gray, Shirley; February, 183

Markides, Kyriakos S.; March, 253Marsh, Franklin; January, 91Mason, Roger P.; May, 609Massac, Etienne, Jr.; October, 1071Matory, William E.; June, 633Matsumoto, Kazue; October, 1049Mazorow, D.L.; November, 1149McCord, Colin; May, 525McGrady, Gene A.; March, 237McNeal, Ann C.; February, 193Melvin, W.V.; November, 1177Messerli, Franz H.; January, 17Mezghebe, Haile M.; March, 275Milazzo, Vincent J.; January, 81Millar, D.B.; November, 1149Miller, John M.; June, 701Miller, Joseph M.; June, 701Miller, Theodore Q.; October, 1041Minnard, Emery; April, 464 August,

912Mitchell, Janet L.; August, 841Mkandawire, Kamana; April, 464Mohla, Suresh; October, 1049Molho, Laura; November, 1184Molnar, I.G.; May, 557Monu, Johnny U.V.; June, 695Moore, G. William; June, 644Morgan, Anthony S., November, 1133Morgenstem, Frances; May, 541Morten, Robert C.; March, 331Moseberry, M. Diane; May, 604Mullner, Ross; April, 415Mulloy, Katherine; August, 844Munoz, Eric; August, 844Murthy, R.S.C.; November 1177Nandedkar, Arvind K.N.; February,

137Natesha, Ramanathapur; March, 269Nazem, Ahmad; July, 785Neal, Loni; October, 1065Neser, William; February, 143 June,

653Newton, Sheila A.; October, 1049Ng, Thian C.; July, 799Nkongho, A.; May, 533Nwiloh, Jonathan; May, 525Odejide, A.O.; July, 805Odocha, Okay; March, 275O'Donnell, Regina; March, 263Ogunnaike, Harry O.; May, 547Ohaeri, J.U.; July, 805



INDEX TO VOLUME 81

continued from page 1264Olden, Kenneth; October, 1049Olson, Peter R.; September, 1001Oluwole, S.F.; August, 866Osborne, Newton G.; May, 541Owen, Roger; March; 285Panizo, Maria Isabel; March, 285Panos, Ralph J.; April, 460Parsh, S.; November 1177Pastena, Janis A.; January, 81Paul, Eugene A.; December, 1233Peniston, Reginald L.; April, 467

May, 591 June, 637 October, 1027October, 1101 December, 1259

Penn, Nolan E.; July, 769Perry-Thornton, Elena; February, 212

June, 711 October, 1095Peter, Sabastian A.; February, 115

April, 373Picone, Samuel; September, 954Pinn-Wiggins, Vivian W.; December,

1213Posey, Douglas H., Jr.; July, 793Posner, Gerald; January, 91Powell, Archie; March; 325Prapphal, Nuanchan; March, 263Prasad, Neni; February, 169 Septem-

ber, 931Press, Harry C., Jr.; April, 396Pulitzer, Donald R.; October 1077Qadri, S.M. Hussain; April, 382 Octo-

ber, 1061Rachal, Raylinda E.; June, 685Rachmilewitz, Daniel; January, 93Rahman, S.A.; October, 1061Randall, Otelio S.; May, 591Reddix, Mason C.; May, 601Reghini, M.; July, 785Reid, Clarice A.; May, 507Reindorf, Carl Alexander; August, 866

October, 1071Richardson, Joan C.; March, 253Rivo, Mark L.; November, 1125Rizvi, W.H.; October, 1061Roberts, Arthur J.; October, 1033Robinson, Joy D.; May, 609Rosner, Fred; February, 119 April, 457Ryan, Jerry; May, 557Sampson, Calvin C.; October, 1049Sampson-Stroman, Vanessa; April,

396

Saunders, Elijah; (Suppl.) April, 5(Suppl.) April, 41

Schwartz,Eugene; November, 1125Scott, Clarissa S.; March, 285Semenya, Kofi; March, 237Shamsi, Nasreen; April, 365Sharma, Ravi; June, 653Shaver, Maria L.; February, 129 June,

680 July, 809 August, 857Shibl, Atef M.; September, 937Sibley, Roslind McCoy; April, 396Sim, Kenneth T.; September, 954Simmons, Timothy C.; April, 421

May, 604Simpkins, C.O.; November, 1149Singh, Heramb; March, 331Siram, S.M.; March, 275Slade, Walter R., Jr.; February, 193Slater, Leonard N.; January, 49Smith, Earl Belle; February, 153 June,

707 July, 759 September, 945 De-cember, 1204

Smith, Robert J.; April, 402Smothers, Michael; March, 299Sofan, Maha M., September 937Soller, R. William; September, 927Spillert, Charles R.; January, 81Staggers, Frank E.; April, 437 Decem-

ber, 1241Stanley-Ambrose, Allyson; October,

1071State, David; October, 1091Stock, Richard J.; September, 927Subramanian, Valavanur A.; October,

1033Suneja, Sudhir K.; February, 205Sweeney, John P.; September 954Sweet, Richard L.; February, 159

September, 928Swenson, Roy E.; May, 601Taylor, Julie; March, 246Teal, James S.; February, 205Thomas, Frank J.; July, 799Thomas, Joseph S., Jr.; September

969Thompson, Carolyn, May, 499Thompson, Ira; June, 669Thompson, Vertis R.; April, 437Thornton, Michael C.; January, 72Torrijos, Emma; June, 677Toussaint, Rose Marie; May, 499

Townsend, Ricard N.; September,1001

Trowers, Eugene A.; May, 601Tse, Peter S.; February, 193Tucker, Donald Tommy; March, 299Tuckson Reed V.; November, 1119

November, 1125Tyras, Denis; May, 533Valenta, Lubomir J.; April, 357Veiga, Robert V.; May, 507Velez, Miguel; October, 1091Verly, Gerard P.; February, 212 June,

711 October, 1095Vijayakumar, Srinivasan; July, 799Vincent, Gilford S.; June, 669Walker, Alonzo P.; October 1065Walker, Bailus, Jr.; January, 13 May,

489 July, 815Walker, Leslie; March, 246Walker, M.; October, 1095Walker, Mark; June, 711Walker-Jones, Dorothy; August, 866

October, 1071Walters, Curla S.; May, 499Warner, Oswald G.; March, 275Watkins, Laurence O.; (Suppl.) April,

17Washington, A. Eugene; February,

159 September, 928Watson, Frederick I.; April, 453Watts, Thomas C.; December, 1225Weaver, William L.; March, 269 July,

777 October, 1033 November 1177Whipple, Julianne; October, 1065White, Sandra L.; October, 1049White-Means, Shelley I.; January, 72Williams, Wydell; June, 669 October,

1033Winkelman, James; May, 541Wise, Leslie; August, 844Wolde-Tsadik, Girma; March, 237Yeager, Curtis; May, 499Yeo, Jung Sung; January, 72Young, Roscoe C., Jr.; June, 685Zarian, David A.; April, 373Zulim, Rebecca; October, 1091


INDEX TO VOLUME 81

ORIGINAL COMMUNICATIONS

A Critical Care Helicopter System inTrauma (Jacobs & Bennett); No-vember, 1157

A Systems View of Health Care for thePoor (Prasad); February, 169

Adenomyosis: A Retrospective View(Thomas & Clark); September, 969

Adverse Health Consequences of Co-caine Abuse (Cregler); January, 27

Anatomical and Profile Analysis of theFemale Black American Nose(Baker); Nov ember, 1169

Anatomy of the Abdomen, Back, andPelvis as Displayed by MagneticResonance Imaging: Part One (Col-lins, Shaver, Batra & Brown);June, 680

Anatomy of the Abdomen, Back, andPelvis as Displayed by MagneticResonance Imaging: Part Two (Col-lins, Shaver, Batra & Brown); July,809

Anatomy of the Abdomen, Back, andPelvis as Displayed by MagneticResonance Imaging: Part Three(Collins, Shaver, Batra & Brown);August, 857

Antibacterial Activity of NorfloxacinAgainst Bacterial Isolates from theUrinary Tract (Qadri & Johnson);April, 382

Antimicrobial Resistanc in Streptococ-cus pneumoniae: A Growing Uni-versal Concern (Hussein, Shibl,Bahakem & Sofan); September,937

Assessment of Compliance with theExpanded Program on Immuniza-tion Schedule in King Khalid Uni-versity Hospital (Anokute); March,293

Assessment of Potential for CancerControl by Golden State MedicalAssociation Physicians (Glazer,Johnson, Thompson, Staggers,Jackson & Austin); April, 437

Black Adolescents' Emotional Re-sponse to Menarche (Scott, Arthur,Owen & Panizo); March, 285

Blood Transfusions: Uses, Abuses, andHazards (Posey); July, 793

Bone Marrow Transplantation: A Re-view (Hardy & Ikpeazu); May, 518

Breast Self-Examination: Knowledge,Attitudes, and Performance AmongBlack Women (Jacob, Penn &Brown); July, 769

Cancer Rate Differentials BetweenBlacks and Whites of Three Metro-politan Areas (Haynes, Wolde-Tsadik, Brown, Semenya, Ahmed& McGrady); March, 237

Cardiovascular Care in the UrbanMelting Pot (Peniston); June, 637

The Causes of Frequency of AcuteHospitalization of Patients with De-mentia in a Long-Term Care Facil-ity (Zarian, Peter, Lee & Klein-feld); April, 373

Cigarette Smoking and Attitudes To-ward Quitting Among Black Pa-tients (Hoffman, Cooper, Lacey &Mullner); April, 415

Circumstances of Sexual and PhysicalVictimization of Black PsychiatricOutpatients (Jenkins, Bell, Taylor& Walker); March, 246

Clinical Studies of a Vegetarian FbodDiet Mixture (Carter, Bonney,Molnar, Garces, Lulseged, Habte,Ryan & Allen); May, 557

Comparisons of Black/White Smok-ing-Attributable Mortality and Mor-bidity and Economic Costs in theDistrict of Columbia--1985 ; No-vember, 1125

Correlation Between MacrovascularDisease as Assessed by Bioimped-ance Plethysmography and VariousParameters Used to Assess Diabetic'Control' (Elias, Domurat, Friis &Valenta); April, 357

Crack and AIDS: An EthnographicImpression (Bowser); May, 538

Cystic Fibrosis in Blacks in Washing-ton, DC: Fifteen Years' Experience(Prapphal, Fitzpatrick, Getson,Fink, O'Donnell & Chaney);

March, 263Detection of Specific IgG and IgA

Antibodies to Chlamydia trachoma-tis in Women with Galpingitis Con-firmed by Laparoscopy (Osborne,Hecht, Gorsline, Forbes, Morgen-stern & Winkelman); May, 541

The Diagnostic Utility of Bone Mar-row Aspiration and Biopsy in Pa-tients with Acquired Immunodefi-ciency Syndrome (Gluckman,Rosner & Guarneri); February, 119

Dietary Management of the Patientwith Atherosclerosis: Are the NewNational Cholesterol EducationPanel Recommendations Enough?(Banks, Ali & Dais); May, 493

Ectopic Pregnancy: The Surgical Epi-demic (Coupet); May, 567

The Effect of Mortality Trends (Kelly,Neser & Francis); February, 143

Endoscopic Sphincterotomy in theManagement of Benign and Malig-nant

Exploring the Persistent Black Risk ofLow Birthweight: Findings Fromthe GLOWBS Study (Levin,Markides, Richardson & Lubin);March, 253

Extrahepatic Biliary Obstruction (Sim-mons, Gletten & Henderson); April,421

Film-Screen Mammography: Com-parision of Views (Bassett, Bun-nell, Gold & Jahanshahi); April,391

Hemoglobinopathies in a General andFamily Practice Setting (Carr,Chapatwala & Nandedkar); Febru-ary, 137

Hemophilus influenzas Infections(Flournoy, Hall, Klein & Slater);January, 49

High Density Lipoprotein Cholesterolas a Determinant Factor in Coro-nary Heart Disease in Africans (Ade-bonojo & Ogunnaike); May, 547

Human Erthrocytes Have Bindingcontinued on page 1268


INDEX TO VOLUME 81

continued from page 1266

Sites for B-Endorphin (Simpkins,Chenet, Kang, Mazorow, Millar &Hollis); November, 1149

Identification of Factors Associatedwith Delayed Antenatal Care (Jo-seph); January, 57

Impaired Black Physicians: A Method-ology for Detection and Rehabilita-tion (Carter); June, 663

Investigational Drugs for TreatmentUse: Hope for Minority Populations(Veiga & Reid); May, 507

Involutional Paranoid Disorder: A Ror-gotten Syndrome (Jordan &Farmer); September, 950

'Is There Evidence for a Racial Differ-ence in Misdiagnosis in PatientsExplored for Appendicitis?(Natesha, Barnwell, Weaver &Hoover); March, 269

Length of Hospital Stay in SurgicalService Patients with Nosocomial

Less Well Known Parameters of InVitro Radiosensitivity (Vijay-akumar, Ng, Koumoundouros, Hig-gins & Thomas); July, 799

Localized Acquired Hypertrichosis As-sociated with Fracture and CastApplica-tion (Leung & Kiefer); Jan-uary, 65

Magnetic Resonance Imaging of In-fratentorial Congenital Brain Mal-formations (Byrd); September, 961

Magnetic Resonance Imaging of Su-pratentorial Congenital Brain Mal-formations (Byrd); August, 873

Malnutrition: An Important Determi-nant of Fatal Outcome in SurgicallyTreated Pulmonary SuppurativeDisease (Nwiloh, Freeman &McCord); May, 525

Management of Essential Hyperten-sion in the Black Patient: Profilingas the Initial Approach to Treatment(Messerli); January, 17

Minorities in the Health Professions: ACurrent Perspective (Watts &Lecca); December, 1225

Model for Phase III Autografts ofEpidermal Cells Cultured on a Col-lagen-Proteoglycan Biomatrix

(Walker-Jones, Reindorf, Massac,Adekile, Harmon, Stanley-Am-brose); October, 1071

Moral Beliefs of Physicians, MedicalStudents, Clergy, and Lay PublicConcern ing AIDS (Francis); No-vember, 1141

The National Medical Association andOur Challenges As We Enter theNext Decade (Pinn Wiggins); De-cember, 1213

Need for Invasive Diagnostic Proce-dures in the Management of Supe-rior Vena Cava Syndrome (Kumar& Good); January, 41

Needle Localization and SurgicalManagement of Occult Breast Le-sions (Barnes & Matory); June, 633

Nerves on Magnetic Resonance Imag-ing (Collins, Shaver, Batra &Brown); February, 129

Neurologic Complications of Cardio-vascular Diseases (Slade, McNeal& Tse); February, 193

Nondrug Treatment of Hypertension: ASurvey of Black Physicians in NewYork State (Paul & Gemson); De-cember, 1233

Parathyroid Adenocarcinoma (Nazem,Anderson, Lefall, Reghini &Brown); July, 785

The Pattern of Isolated Sleep ParalysisAmong Nigerian Medical Students(Ohaeri, Odejide, Ikuesan &Adeyemi) July, 805

Pattern of Urolithiasis in Benin City,Nigeria (Monu); June, 695

Per Capita Income in Breast CancerPatients (Walker, Neal, Ausman,Whipple & Doherty); October,1065

Prediction of Clinical Course in Diabe-tes Using a Simple CoagulationTest (Spillert, Milazzo, Pastena &Lazaro); January, 81

Prednisone When Used as Treatmentfor Rejection Correlates with PoorOutcome (Toussaint, Callender,Dunston, Flores, Walters, John,Yeager, Tompson & Gear); May,499

The Present Socioeconomic/CulturalClimate and Minority Medical Par-ticipation (Cobb); April, 434

Preservation of Myocardial Ultrastruc-ture After 24 Hours of KlebsiellaSepsis: Histologic, Runctional, andBiocheical Correlations (Roberts,Harrison, Williams, Weaver,Alonso, Subramanian & Gay); Oc-tober, 1033

Primary Cancer of the Lung in Women(Smith); September, 945

Primary Cancer of the Pancreas: ASurgical Enigma (Smith); February,153

Psychiatric Morbidity and HealthProblems Among Black Americans:A National Survey (Johnson); De-cember, 1217

Race and Diagnostic Related Group Pro-spective Hospital Payment for MedicalPatients (Munoz, Barrios, Johnson,Goldstein, Mulloy, Chalfin & Wise);August, 844

Race and the Shaken Baby Syndrome:Experience at One Hospital (Bren-ner, Fischer & Mann-Gray); Febru-ary, 183

Race and Suicide in Jails and Prisons(Haycock); April, 405

Racial Differences in the Etiology ofDementia and Frequency of Alz-heimer Lesions in the Brain (de laMonte, Hutchins & Moore); June,644

Rapid Healing of Sickle Cell LegUlcers Treated with CollagenDressing (Reindorf, Walker-Jones,Adekile, Lawal & Oluwole); Au-gust, 866

Recent Advances in the Surgical Man-agement of Pheochromocytoma(Hoover Weaver); July, 777

Red Cell Sodium and Potassium inHypertension Among Blacks (Coo-per, Aina, Chaco, Achilihu, Shamsi& Ford); April, 365

The Role of the Experience and Ex-pression of Anger and Anxiety inElevated Blood Pressure AmongBlack and White Adolescents


INDEX TO VOLUME 81

(Johnson); May, 573Saudi Arabian-American Differences in

Antimicrobial Resistance of Escher-ichia, Klebsiella, and Pseudomonas(Qadri, Rizvi, Rahman, Al-Dayel &Flournoy); October, 1061

Schizophrenia and Affective Disorderin Black and White Patients: AMethodologic Note (Adebimpe &Cohen); July, 761

Short-Term Effects of Smoking Cessa-tion: Benefit or Penalty (Young,Rachal & Carr); June, 685

Sociodemographic and Health FactorsInfluencing Black and Hispanic Useof the Hospital Emergency Room(White-Means, Thornton & Yeo);January, 72

Sociodemographic Indicators ofStroke Mortality (Ahmed, Neser &Sharma); June, 653

Sonography in Acute Appendicitis(Sampson-Stroman, Sibley, Clark& Press); April, 396

Swainsonine: A New AntineoplasticImmunomodulator (Mohla, Humph-ries, White, Matsumoto, Newton,Sampson, Bowen, Olden); Octo-ber, 1049

Thoracic Empyema: A Five-Year Ex-perience at Queens Hospital Center(Nkongho, Luber, Cordice &Tyras); May, 533

Tracheopleuropulmonary Injuries Fol-lowing Enteral Tube Insertion(Odocha, Lowery, Mezghebe,giram & Warner); March, 275

Traumatic Brain Injury: ImprovingFunctional Recovery (Morgan); No-vember, 1133

Treatment of Large Ventral and Scro-tal Hernias Using PreoperativePneumoperitoneum (Coopwood &Smith); April, 402

Ultrasound with Graded Compressionin the Evaluation of Acute Appendi-citis (Sim, Picone, Crade &Sweeney); September 954

Urban-Suburban Differences in theIncidence of Low Birthweight in aMetropolitan Black Population

(Ahmed); August, 849Urinary Tract Infections Associated

with Otitis Media in Infants andChildren (Torrijos, Khan, Bast-awros, Amin & Hecht); June, 677

Use of Naloxone in Septic Shock(Canady, Williams, Thompson,Vincent & Hoover); June, 669

Vaginal Douching as a Possible RiskFactor for Pelvic Inflammatory Dis-ease (Fbrrest, Washington, Daling& Sweet); February, 159

Variation in Hypertension Prevalencein Elderly Blacks in the UnitedStates:

Why is High Resolution ComputerizedTomography Scanning Used inEvaluating the Lungs? (Graves,Collins & Miller)

CASE REPORTSAbdominal Pain, Colomegaly, and

Jaundice form Heart Failure Re-lated to Mitral Stenosis (Baumgart-ner, Velez, Zulim & State); Octo-ber, 1091

Acute Appendicitis and Barium Enema(Perry-Thornton, Karkala, Verly &Densler); February, 212

Acute Pancreatitis in Sickle Cell Crisis(Kumar, Posner, Marsh, Bellvue &Dosik); January, 91

Adhesions as a Cause of PersistentSpontaneous Pneumothorax(Hoover, Hsu, Mkandawire & Min-nard); April, 464

An Unusual Presentation of MultipleMyeloma: Primary Plasmacytomaof the Spleen (Perry-Thornton,Verly, Karkala & Walker); Octo-ber, 1095

Apudoma of the Pancreas: Benign orMalignant? (Trowers, Lazcano,Swenson & Reddix); May, 601

Breast Cancer in the Young (Dugue,Bock, Molho & Cordice); Novem-ber, 1184

Chronic Myelocytic Leukemia andGastric Cancer in the Same Patient(Butala, Kalra & Rosner); April,457

Cocaine Psychosis (Baker); Septem-ber,987

Contained Thoracic Empyema Present-ing as an Anterior Chest WallAbscess:

Diagnosis of Pulmonary Hamartomaby Bronchoscopic TransbronchialBiopsy (Panos & Chang); April, 460

Diffuse Intramural Esophageal Pseu-dodiverticulosis (Eliakim, Libson& Rachmilewitz); January, 93

Empyema Necessitatis Revisited(Hoover, Hsu & Minnard); August,912

Gallbladder Carcinoma and Retroperi-toneal Fibrosis: A Rare Combina-tion (Armstrong, Olson Townsend);September 10001

Hepatic Abscess due to TranshepaticBiliary Endoprosthesis Placement(Simmons & Moseberry); May, 604

Infundibular Metastasis and Panhy-popituitarism (Allen, Kannan &Powell); March, 325

Ischemic Intestinal Necrosis as aCause of Atypical Abdominal Painin a Sickle Cell Patient (Engelhardt,Pulitzer & Etheredge); October,1077

Multiple Synchronous Primary Intra-Abdominal Neoplasms (Melvin,Parsh, Murthy, Koger, Weaver &Hoover); November, 1177

Pasteurella multocida Corneal UlcerFollowing a Baseball Injury(Robinson, Kosoko, Mason &Cowan); May, 609

Progression From Hypertrophic Cardi-omyopathy to Dilated Cardiomy-opathy (Cregler); July, 820

Redundant Colon and Carcinoma ofthe Right Colon (Perry-Thornton,Karkala, Verly & Walker); June,711

Scintigraphy in Evaluation of the Hy-poplastic Right Hepatic Lobe: ARare Varient (Suneja & Teal); Feb-ruary, 205

Wandering Spleen Presenting as anAdnexal Mass (Aquino, Morten &



Go with once-a-day

MAXZIDE-25 MGT1rianitsnsi 37.5 mg '11%drchlovthiazide 25 mg

MAXZIDE5 and MAXZIDEs-25 MG TabletsTriamterene/Hydrochlorothlazide

Brief SummaryPlease see package insert for full prescribing information.

INDICATIONS AND USAGEThis fixed combination drug is not indicated for the initial

therapy of edema or hypertension except in individuals in whomthe development of hypokalemia cannot be risked.CONTRAINDICATIONS

Elevated serum potassium levels (-5.5 mEq/L). Discontinue if hyper-kalemia develops. Concomitant use with other potassium-sparing agents.Concomitant potassium supplementation. Anuria, acute and chronicrenal insufficiency, significant renal impairment. Hypersensitivity toeither component or to other sulfonamide-derived drugs.

WARNINGSHyperkalemia: Abnormal elevation of serum potassium levels(-5.5 mEq/L) can occur with all potassium-conserving agentsincluding MAXZIDE. Hyperkalemia is more likely to occur inpatients with renal impairment, diabetes (even without evidenceof renal impairment), or elderly or severely ill patients. Sinceuncorrected hyperkalemia may be fatal, serum potassium levelsmust be monitored at frequent intervals, especially in patients firstreceiving MAXZIDE, when dosages are changed, or with any illnessthat may influence renal function.Obtain ECG if signs and symptoms of hyperkalemia occur. Discontinue

MAXZIDE immediately if hyperkalemia is present. If the serum potassiumlevel exceeds 6.5 mEq/L, more vigorous therapy is required. AvoidMAXZIDE in diabetic patients. If used, monitor serum electrolytes. Avoidin severely ill patients in whom respiratory or metabolic acidosis mayoccur. If MAXZIDE is used, frequently evaluate acid/base and serumelectrolytes.

Use cautiously, if at all, with angiotensin-converting enzyme (ACE)inhibitors. (See PRECAUTIONS, Drug Interactions.)PRECAUTIONS

Monitor for fluid or electrolyte imbalances at appropriate intervals. Dofrequent serum and urine electrolyte determinations (especially whenthe patient is vomiting or receiving parenteral fluids). Dilutional hypona-tremia may occur in edematous patients in hot weather; appropriate ther-apy usually is water restriction. In actual salt depletion, appropriatereplacement is the therapy of choice.

Hypokalemia may develop with thiazide therapy, especially with briskdiuresis, when severe cirrhosis is present, or during concomitant useof corticosteroids, ACTH, amphotericin B or after prolonged thiazidetherapy.

Interference with adequate oral electrolyte intake will also contributeto hypokalemia. Hypokalemia can sensitize or exaggerate the responseof the heart to the toxic effects of digitalis (eg, increased ventricularirritability).

MAXZIDE may produce an elevated blood urea nitrogen level (BUN),creatinine level, or both. Elevations in BUN and creatinine levels may bemore frequent in patients receiving divided dose diuretic therapy. Discon-tinue if azotemia increases.

Use with caution in patients with impaired hepatic function or pro-gressive liver disease and in patients with histories of renal lithiasis.Triamterene is a weak folic acid antagonist. Periodic blood evaluationsare recommended. Hyperuricemia may occur or acute gout may be pre-cipitated in certain patients receiving thiazide therapy. The thiazidesmay decrease serum PBI level without signs of thyroid disturbance.

Calcium excretion is decreased by thiazides. Pathological changes inthe parathyroid gland with hypercalcemia and hypophosphatemia havebeen observed in a few patients on prolonged thiazide therapy. Discon-tinue thiazides before conducting tests for parathyroid function.

Insulin requirements in diabetic patients may be changed. Thiazidesmay cause manifestation of latent diabetes mellitus. Sensitivity reactionsto thiazides may occur in patients with or without a history of allergy orbronchial asthma. Possible exacerbation or activation of systemic lupuserythematosus by thiazides has been reported.

Thiazides may add to or potentiate the action of other antihypertensivedrugs. Thiazides may decrease arterial responsiveness to norep-inephrine. Thiazides have also been shown to increase responsivenessto tubocurarine. Diuretics reduce renal clearance of lithium andincrease the risk of lithium toxicity.

Acute renal failure has been reported in a few patients receivingindomethacin and other formulations containing triamterene andhydrochlorothiazide. Caution is therefore advised when administeringnonsteroidal anti-inflammatory agents with MAXZIDE.

Use potassium-sparing agents with caution, if at all, in conjunctionwith angiotensin-converting enzyme (ACE) inhibitors due to a greatlyincreased risk of hyperkalemia. Monitor serum potassium frequently.

MAXZIDE may interfere with quinidine measurement.Thiazides cross the placental barrier and appear in cord blood. Use in

pregnancy requires weighing anticipated benefits against possible haz-ards, induding fetal or neonatal jaundice, thrombocytopenia, pancreati-tis, and possibly other adverse reactions which have occurred in theadult.

Thiazides appear in breast milk. If use is essential, the patient shouldstop nursing. Adequate information on use in children is not available.ADVERSE REACTIONS

Drowsiness and fatigue, insomnia, muscle cramps and weakness,headache, nausea, appetite disturbance, vomiting, diarrhea, constipation,urine discoloration, dizziness, decreased sexual performance, tachycar-dia, shortness of breath and chest pain, dry mouth, depression, anxiety.Rare incidents of acute interstitial nephritis and acute renal failure havebeen reported.Other adverse reactios include:Ilydroclnlorothiazide: Castrointestinal: anorexia, gastric irritation,cramping, jaundice (int-ahepatic cholestatic jaundice), pancreatitis,sialadenitis. CentralNerresus System: vertigo, paresthesias, xanthopsia.Hematologic: leukopenia, agranulocytosis, thrombocytopenia, aplasticanemia, bemolytic anemia, megaloblastosis. Cardioruascslar orthostaticbypotension (may be aggravated by alcohol, barbiturates, or narcotics).llypersensitivity: anaphylaxis, purpura, photosensitivity, rash, urticaria,necrotizing angtitis (vasculitis, cutanesus vasculitis), fever, respiratorydistress including pneumonitis. Otbert hyperglycemia, glycosuria, hyper-uricemia, restlessness, transient blurred vision.Triamnerene: Hypersensifirsty: anaphylaxis, photosensitivity and rash.0fev renal stones, blood dyscrasias. Whenever adverse reactions are

moderate to severe, therapy should be reduced or withdrawn.Rev. 5/88

STATEMENT OF OWNERSHIP. MANAGEMENT AND CIRCULATIQN,R,q.,,,d *s 39 tt S C Ji6l3I

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PS F- 3526, F,b 1999

INDEX TO VOLUME 81

continued from page 1269Singh); March, 331

BRIEFSEffects of Decreased Dietary Salt In-

take on Blood Pressure in PreschoolChildren (Tucker, Smothers, Lewis& Feldman); March, 299

Extend a Helping Hand to Society(Henry); February, 201

Gastric Cancer: Views and Overviews(Smith); June, 707

Infection with Trichomonas vaginalisin a Black Population (Miller,Chambers & Miller); June, 701

Magnetic Resonance Imaging of Rec-tal Carcinoma (Butler & Bryan);January, 87

Protecting Our Children (Walker);July, 315

Targeting the At-Risk Male: A Strategyfor Adolescent Pregnancy Preven-tion (Watson & Kelly); April, 453

What Can We Learn from the GayCommunity's Response to the AIDSCrisis? (Gerald); April, 449

EDITORIALSA Dilemma for Physicians and Sur-

geons (Smith); July, 759AIDS Babies: A Sociomedical Di-

lemma (Hammonds); June, 629Biotechnology and the Public Health

Challenges (Walker); May, 489Diabetes Mellitus in the African-

American Population (Peter); Febru-ary, 115

The Dehiscence of Health Care(Prasad); September, 931

Drug Abuse and AIDS in Women andTheir Affected Offspring (Mitch-ell); August, 841

Ethics in Health Services and Medi-cal Care (Walker); January, 13

Help For Healers with Student LoanProblems (Heninburg); Decem-ber, 1207

On Capital Punishment (Jordan); March,231

Quality Assurance: Public HospitalClinics (Benjamin); April, 355

Race, Sex, Economics, and TobaccoAdvertising (Tuckson); Novem-ber, 1119

Will the National Medical Associ-ation Support a ComprehensiveNational Health Plan?

LETTERS TO THE EDITORApproach to Hair Loss Reduction

(Blanchard & Blanchard); July, 755Boxing Reforms (Floyd); April, 351Gonorrhea and Inner City Women

(Hutcherson, Giedinghagen, Hoff);November, 1116.

Health Care For Blacks in the UnitedStates (Smith); December, 1204

One Three Generation Howard Medi-cal Alumni Family (Cobb), (Davis),(Cunningham); November, 1116

The Shame of Miami (Carter); Decem-ber, 1204

Vaginal Douching (Stock), (Soller),(Forrest, Washington, Daling,Sweet); September, 927

BOOK REVIEWSAmerica's Health in the Balance:

Choice or Chance? (Peniston);April, 467

Biomedicine Examined (Peniston);October, 1101

Rationing Health Care in America:Perceptions and Principles of Jus-tice (Peniston); April, 467

Modem Cardiovascular Physiology(Peniston); December, 1259

The Health Economy (Peniston); April,467

MEDICAL' HISTORYA Historical Perspective of Thirteen

Unheralded Contributors to Medi-codental Progress (Dummett);March, 307'

Coronary Artery Disease in BlackAmericans 1920-1960: The Shapingof Medical Opinion (Peniston &Randall); May, 591

The Howard University Medical De-partment in the Flexner Era: 1910-1929 (Epps); August, 885

NMA ACTIVITIESAnnual Address to the House of Dele-

gates: National Medical Associa-tion's Leadership Role in Minor-ity Health issues (Staggers); De-cember, 1241

Awards Presented at the 94th AnnualConvention; December, 1247

Calendar; April, 472 May, 615 June,745 July, 828 August, 918 Septem-ber, 1012 October, 1102 Novem-ber, 1176 December, 1240

Call for Papers; February, 181 March,235 April, 337 May, 587 Decem-ber, 1211

Call for Scientific Exhibits Poster;February, 189 March, 283 April,389 May, 589

Outrageous and Beyond the Bounds ofDecency (Epps); September, 975

Preliminary Program Schedule; June,717

Presidents of the National MedicalAssociation: 1895-1989; December,1251

INFORMATION FOR AUTHORSJanuary, 71 February, 185 March, 339

April, 401 July, 784 October, 1057November 1168

SUPPLEMENTCommunity Programs to Increase Hy-

pertension Control (Kong); April,13

Discussion (Saunders); April, 41Epidemologic Factors in the Manage-

ment of Hypertension (Saunders);April, 5

New Joint National Committee Rec-ommendations as They Affect BlackHypertensive Patients (Ferdinand);April, 31

Racial Differences in the Managementof Hypertension (Watkins); April,17

Therapeutic Choices for the OlderHypertensive Patient (Applegate);April, 25


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