Abstract:
:The psychosocial adjustment of patients who are experiencing physical disabilities is examined within the context of a family ecological approach. Historical and sociocultural characteristics of African-American families are delineated and explored in terms of their potentially positive impact on the adjustment process. Four family strengths are delineated: strong kinship bonds, strong religious orientation, family role flexibility, and strong education/work ethic. The authors demonstrate how these various assets interact reciprocally in the family lives of those individuals who are disabled. Contrary to the predominant deficit theories, a fresh asset-oriented approach is provided. A model of the family adjustment process of African-American clients with disabilities is presented, and some of the important strengths of the African-American family system are examined. Finally, a family strengths model is applied to the therapeutic process.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Turner WL,Alston RJsubject
Has Abstractpub_date
1994-12-01 00:00:00pages
915-21issue
12eissn
0027-9684issn
1943-4693journal_volume
86pub_type
杂志文章,评审abstract:OBJECTIVE:The purpose of this cross-sectional study was to examine the association between elevated depressive symptoms and the clinical severity of sickle cell disease (SCD) using African-American adults with and without SCD. STUDY DESIGN:The population consisted of 102 African-American adults with SCD, diagnosed usi...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2006-03-01 00:00:00
abstract::Peritoneal lavage fluid for cytologic study was obtained in 73 patients undergoing primary surgery for stage I endometrial adenocarcinoma. Preoperative irradiation was not used. Malignant cells consistent with endometrial adenocarcinoma were present in eight (11 percent) cases. There was no significant difference in t...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1985-10-01 00:00:00
abstract::The author traces the history of theories of food digestion from the prescientific era to the chemical techniques of 19th century investigators. ...
journal_title:Journal of the National Medical Association
pub_type: 历史文章,杂志文章
doi:
更新日期:1987-11-01 00:00:00
abstract:INTRODUCTION:COVID-19 is an emerging, rapidly evolving global situation, infecting over 25 million people and causing more than 850,000 deaths. Several signs and symptoms have been described to be characteristic of the disease. However, there is a dearth of report on the description of the clinical characteristics of t...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2020.11.011
更新日期:2020-12-22 00:00:00
abstract::The data of the Third National Cancer Survey show for many cancer types, large differences in cancer incidence between Euro-Americans and Afro-Americans.(1) As in other racial studies, it is difficult to separate environmental and genetic factors. For the cancers which are more frequent among Afro-Americans, environme...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1981-08-01 00:00:00
abstract::In contrast to their white counterparts, black men in the United States live sicker and die younger. This longstanding phenomenon is sharply reflected in the poor international health status of black males. The NMA president discusses major health issues facing black males and posits a multidimensional strategy for ad...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:2006-04-01 00:00:00
abstract::This study investigates the alteration of serum cholinesterase levels in diabetics and its possible relationship to blood glucose, insulin, triglyceride, and cholesterol levels. Fourteen phasic insulin-dependent diabetes mellitus patients were compared with 10 insulin-dependent diabetes mellitus, 10 noninsulin-depende...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1992-10-01 00:00:00
abstract:OBJECTIVES:Recurrent abdominal pain (RAP) is a common presenting symptom in children with sickle cell disease (SCD). This may be as a result of complications of the disease, surgical problems, or Helicobacter pylori gastritis. The prevalence of H pylori infection in SCD children is not known. This study aimed to determ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30738-0
更新日期:2010-11-01 00:00:00
abstract:BACKGROUND:Hypertension is associated with left ventricular diastolic function abnormalities. There have been few studies evaluating left ventricular diastolic function in an African populace. MATERIALS AND METHODS:Ninety-eight hypertensives (52 females, 46 males) and 99 normal controls (49 females, 50 males) were rec...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2005-01-01 00:00:00
abstract::Surgery is the modality of choice in curative treatment for cancer of the colon and rectum. Since a majority of the patients present advanced disease where the surgical outlook is poor, adjuvant therapy may be warranted. Clinical and experimental data demonstrate the benefits from preoperative radiation therapy and so...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1978-11-01 00:00:00
abstract::While the author recognizes the positive impact community psychiatry has had on postpsychotic patients by the uses of medical management and environmental manipulation, he demonstrates that there is a deficiency in the treatment of lower socioeconomic patients with neurotic illnesses. Specifically, neurotic patients t...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1979-04-01 00:00:00
abstract::An efficient, reliable, and immediate method of treating full-thickness skin avulsions of fingertips in an Emergency Room is presented. A series of patients are discussed. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1978-04-01 00:00:00
abstract::Angiotensin II is a prothrombotic vasoconstrictor. This study proves that many hypertensives are hypercoagulable and at risk for myocardial infarction. The modified recalcification time (MRT) test, used to assess hypercoagulability, incorporates the role of tissue factor in coagulation by activating the monocyte with ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1995-01-01 00:00:00
abstract::Periodically, for the past two years, the editorial staff of the Journal of the National Association has attempted to-for history's sake--highlight physicians of color. In this vein, and in light of the current hostile activities in the Persian Gulf, we felt it important we our bring readers, in this issue, the backgr...
journal_title:Journal of the National Medical Association
pub_type: 传,历史文章,面试
doi:
更新日期:2005-05-01 00:00:00
abstract::This preliminary study explored the roles of knowledge, attitudes, and significant others on decisions of older African-American women to enroll in a clinical trial involving estrogen and osteoporosis. Sixteen older African-American women (average age 75 years) participated in three focus groups. Twelve of the women h...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2001-10-01 00:00:00
abstract::THIS RESEARCH EXAMINES THE KINDS OF PROBLEMS THESE YOUNG FATHERS ARE LIKELY TO SEEK HELP FOR AND ADDRESSES ITSELF TO THE QUESTION: Is there a difference in the help-seeking behavior of unwed adolescent fathers who reside in different cities? Despite the complexity and diversity of their difficulties, it was clear from...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1981-09-01 00:00:00
abstract::Vitamin D deficiency has been linked to fracture risk and chronic musculoskeletal pain. Adults with sickle cell disease have a high prevalence of low bone density and chronic pain with poorly defined etiologies. We recognized that vitamin D deficiency may represent a treatable etiology and sought to determine the prev...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,多中心研究
doi:10.1016/s0027-9684(15)30605-2
更新日期:2010-04-01 00:00:00
abstract::The association among race, neighborhood socioeconomic status (SES), and chronic pain has not been well examined in older people. Clinical data was obtained from older adults (>50 years old) presenting to a tertiary care pain center. The relative roles of race and neighborhood SES on the chronic pain experienced in ol...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2007-10-01 00:00:00
abstract::Relatively high serum albumin levels compared to low levels have been associated with reduced cardiovascular mortality and coronary heart disease and stroke incidence. The nature of these associations remains undefined. Therefore, widely accepted criteria of Bradford Hill were used to assess the likelihood that the as...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:2000-01-01 00:00:00
abstract::We prospectively studied the evolution of HBsAg antibody (HBsAb) after primary vaccination (four doses; Engerix B, 40 pg i.m at 0, one, two and six months) in 29 patients who were seronegative (HBsAb <10 IU/L), had not been previously vaccinated and were on hemodialysis. Their mean age was 45.58 +/- 10.98 years, and t...
journal_title:Journal of the National Medical Association
pub_type: 临床试验,杂志文章
doi:
更新日期:2006-12-01 00:00:00
abstract::Newly diagnosed insulin-dependent diabetic Nigerian Africans were studied prospectively over a 6-year period and were analyzed for sex, age at diagnosis, and month of onset of symptoms. Insulin-dependent diabetes mellitus (IDDM) rarely occurred in patients younger than the age of 10. A female preponderance occurred in...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1992-02-01 00:00:00
abstract::National efforts to increase diversity of academic medicine faculty led us to study the evolution of medical graduates' academic medicine career intentions. We conducted a retrospective cohort study of 1997-2004 U.S. allopathic medical graduates who completed both the Association of American Medical Colleges' Matricul...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)31439-5
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVE:Minority populations have an increased risk for trauma, but little is known about injury rates for minority children. This study compares the causes, rates and outcomes of traumatic injuries between minority and white children in a statewide population sample. METHODS:A cohort study of 5,973 children (age <1...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2005-03-01 00:00:00
abstract::This analysis represents the first national look at family and individual use of home remedies by African Americans. The purpose is to examine home remedy usage by African-American individuals and their families and assess the relationship between sociodemographic characteristics and home remedy usage for African-Amer...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2000-07-01 00:00:00
abstract::The right ventricular (RV) wall thickness and dimension were measured by the technique of echocardiography in 62 patients. Thirty-six of these patients died, and the RV wall thickness was measured at necropsy for comparison with the echocardiographic measurements. The necropsy RV wall thickness measured 3.3 ± 0.6 mm i...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1982-08-01 00:00:00
abstract::Total hemolytic complement (CH50) and activation of the alternate mechanism were measured in eight patients before and after splenectomy and compared to similar measurements made in a control group of patients following other abdominal surgery. In the splenectomy group, alternate-pathway-mediated activation of C3 was ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1978-09-01 00:00:00
abstract::A 31-year-old black man presented with bilateral multiple renal papillary adenocarcinomas. The patient had been maintained on captopril therapy for severe hypertension for three years. The possibility of drug-induced malignancy is discussed. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1984-11-01 00:00:00
abstract::In the past the study of the allocation of scarce medical resources centered around "high-tech" forms of health care, such as the use of the artificial heart and hemodialysis. The use of nonbiomedical criteria (ie, should the social worth or financial status of a particular patient dictate preferential treatment over ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1986-05-01 00:00:00
abstract::Educating a physician workforce that reflects the increasing racial and ethnic diversity of our nation is an ongoing challenge of urgent concern. Many medical school kindergarten through 1 2th grade (K-12) pipeline programs focus on "enriching" underrepresented minority (URM) students using strategies to change or "im...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2002-08-01 00:00:00
abstract::The purpose of this study was to examine the relationship of early initiation of sex, drug-use, drug-trafficking, and sensation-seeking among urban, African-American adolescents. A longitudinal follow-up of 383 youth ages 9 to 15 years at baseline over four years with serial risk-assessments was used. Sexual experienc...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2001-04-01 00:00:00