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Biomedical subjects

J I Lowe

Publications and source records attributed to J I Lowe.

10 recordsLinked to original sources

An urban intergenerational program for cancer control education.

BACKGROUND: Recognizing the disparities in cancer morbidity and mortality that exist between African Americans and whites, an urban university and its neighborhood community undertook the development of an education program to transfer state-of-the-art cancer prevention, detection, and treatment information from an academic medical center to community residents, including school-age children. METHODS: An intergenerational, multilevel intervention was developed to: 1) assess the health beliefs of the community, 2) identify, develop, and train an intergenerational group of community residents who would serve as health educators, and 3) promote behavioral change among the target population. RESULTS: Ten community residents were trained as educators. Over the course of two years they conducted cancer education programs that reached 775 adults. During the same period, the school-based educational intervention reached 264 seventh-grade students. CONCLUSIONS: Implications for the design and implementation of community-based cancer education programs in this African American community are identified.

Academic Medical Centers↗

A culturally appropriate cancer education program for African-American adolescents in an urban middle school.

This article describes an innovative transfer of cancer prevention information from a Comprehensive Cancer Center to the community and school setting. A cancer control curriculum, developmentally and culturally appropriate for middle school, African-American children, was taught to seventh grade students in a public middle school in a large, northeastern city. By building partnerships among a university, an academic medical center, a public school district, and a non-profit arts organization, students learned cancer control concepts in the context of their daily lives. Students increased their knowledge of cancer risk and demonstrated a positive attitude about their ability to affect their own health. Experience with this project enabled staff to identify additional education and support needs that exist among students who have family members with cancer.

Adolescent↗

Educating African-Americans about cancer prevention and detection: a review of the literature.

The high incidence of cancer mortality and morbidity among African-Americans has led to a need for cancer education and detection programs designed for this underserved population. This review of the literature focuses on key cancer-related health beliefs, barriers to utilization, and methods of intervention that should be considered in developing programs for African-Americans. Implications for social work practice are discussed.

Black or African American↗

A template for analyzing ethical dilemmas in discharge planning.

Involvement in discharge planning in acute-care hospitals can produce troubling ethical conflicts for social workers. Using case material, the authors present a model for analyzing these dilemmas. Exploration of available data, value systems, and decision-making dimensions of the situation at hand is suggested as a way of understanding a dilemma and moving toward necessary action.

Aged↗

Understanding teamwork: another look at the concepts.

The interdisciplinary team is frequently utilized in the delivery of health care services. Considerable confusion surrounds the concept of teamwork. Three characteristics of teamwork are delineated to further the understanding of its structure and function. Integrative and coordinate teams are differentiated as models of practice. Implications for social work and nursing are highlighted.

Group Processes↗

Conflict in teamwork: understanding roles and relationships.

Out of the recognition that chronic renal failure has psychological and social as well as medical ramifications, the renal treatment team is composed of different professionals. As these disciplines respond to the psychosocial and medical dimensions, potential for role conflict arises. The paper focuses on this problem as it relates to the responsibilities of the social worker and the nurse clinician. The process is studied from the theoretical framework of role conflict, ambiguity, crisis, and resolution. A model of team development evolved from the study. Findings illustrate ways in which these conflicts can be minimized and clarified to enhance team functioning and improve services delivered to patients and their families.

Conflict, Psychological↗

Quality assurance in dialysis: the role of the social worker.

With the need for accountability in the delivery of End-Stage Renal disease services, social workers are beginning to establish standards defining the quality and effectiveness of their practice as members of a multidisciplinary treatment team. This paper delineates minimum ways for mandated social service to be delivered and made accountable. It also explores the role of the social worker as a member of the Network Coordinating Council and Medical Review Board. Some implications for social work involvement in larger policy issues resulting from the ESRD legislation are suggested.

Delivery of Health Care↗

Toxicity of Aroclor-R 1254 and its physiological activity in several estuarine organisms.

The occurrence of high concentrations of a PCB (Aroclor 1254) in the Pensacola estuary prompted field and laboratory studies by the Gulf Breeze Environmental Research Laboratory (EPA). Monitoring of the estuary indicates the chemical is present in all components--particularly in sediments and fishes. Residues appear to be diminishing in sediments. Toxicity tests show estuarine species sensitive at ppb concentrations in water, with a ciliate protozoan (Tetrahymena pyriformis W), (Fundulus similis), affected at or near 1.0 ppb. Tissue concentrations of Aroclor 1254 similar to those found in natural populations of shrimps from the contaminated estuary were successfully duplicated in laboratory experiments. Shrimps also concentrated the PCB from very low concentrations (0.04 ppb) in the water. Three estuarine species demonstrated pathologic changes at tissue and cellular level after chronic exposure to the chemical. Oysters (Crassostrea virginica) developed abnormal infiltration of leukocytes in the connective tissue, spot (Leiostomus xanthurus) developed fatty changes in their livers, and shrimp (Penaeus duorarum) developed crystalloids in hepatopancreatic nuclei.

Animals↗