| the spectrum of gastroenteritis at the pediatric outpatient clinic, department of child health, school of medicine, university of north sumatera in 1982. | | 2011 | 3237422 |
| [an experimental study on the prediction of heat stress of workers in a hot environment, with special reference to the relation between wearing suits, work load and environmental temperature]. | hardly any practical approaches have been made on prediction of appearance of heat-stress hazard, although basic studies have extensively been made, including various heat-stress indices. hence, in the present paper, an applicational prediction equation is presented with regard to the permissible working time without heat-stress hazard on the basis of experimental results. the purpose of this experiment was to examine the significant correlations between elevated rectal temperature, working cond ... | 2011 | 3448311 |
| [an experimental study on the prediction of heat stress of workers in a hot environment, with special reference to the relation between wearing suits, work load and environmental temperature]. | hardly any practical approaches have been made on prediction of appearance of heat-stress hazard, although basic studies have extensively been made, including various heat-stress indices. hence, in the present paper, an applicational prediction equation is presented with regard to the permissible working time without heat-stress hazard on the basis of experimental results. the purpose of this experiment was to examine the significant correlations between elevated rectal temperature, working cond ... | 2011 | 3448311 |
| [treatment of traumatic recurrent hyphema with sodium hyaluronate]. | | 2011 | 3652362 |
| when patient care & medicare conflict. a home health nurse responds: no ethical conflict. | | 2011 | 3517291 |
| state of rhode island in general assembly january session, a.d. 1988. | | 2011 | 3231969 |
| learning from lesions: patterns of tissue inflammation in leprosy. | the clinical forms of leprosy constitute a spectrum that correlates closely with the degree of cell-mediated immunity. patients with tuberculoid leprosy develop strong cell-mediated responses and have only a few, localized lesions, whereas patients with multibacillary lepromatous leprosy are specifically unresponsive to antigens of myobacterium leprae. t cells of the cd4+ subset predominate in tuberculoid lesions, whereas cd8+ cells predominate in lepromatous lesions. monoclonal antibodies that ... | 2011 | 3257577 |
| learning from lesions: patterns of tissue inflammation in leprosy. | the clinical forms of leprosy constitute a spectrum that correlates closely with the degree of cell-mediated immunity. patients with tuberculoid leprosy develop strong cell-mediated responses and have only a few, localized lesions, whereas patients with multibacillary lepromatous leprosy are specifically unresponsive to antigens of myobacterium leprae. t cells of the cd4+ subset predominate in tuberculoid lesions, whereas cd8+ cells predominate in lepromatous lesions. monoclonal antibodies that ... | 2011 | 3257577 |
| [on a case of tics (gilles de la tourette's disease) treated with heloperidol]. | | 2011 | 4502925 |
| [on a case of tics (gilles de la tourette's disease) treated with heloperidol]. | | 2011 | 4502925 |
| [action of immunostimulants on phagocytosis and derivative actions]. | one of the main objectives of immunopotentiators is their ability to enhance or to restore natural anti-infectious resistance of normal or immunocompromised hosts. numerous experimental resistance models have been used in screening such potentiators. however, once such a substance has been selected, its potential and practical use will directly depend on the knowledge of the underlying resistance mechanisms induced, defining its cellular or molecular targets. phagocytosis-polymorphonuclear or mo ... | 2011 | 3539491 |
| differences in latencies and amplitudes of auditory brain stem responses in symmetrical areas of the scalp in healthy subjects. | | 2011 | 3201914 |
| second stage in the war against asbestos is about to be unleashed. | | 2011 | 3173953 |
| second stage in the war against asbestos is about to be unleashed. | | 2011 | 3173953 |
| improvement in left ventricular diastolic function in patients with stable angina after chronic treatment with verapamil and nicardipine. | | 2011 | 3151267 |
| [percutaneous removal of kidney calculi and extracorporeal shockwave lithotripsy in patients with hemorrhagic diatheses]. | hemorrhage is the main complication of percutaneous kidney stone removal. shock-wave lithotripsy also may causes bleeding complications. it seems that both procedures are contraindicated on patients with coagulation disorders. on the base of two cases the specification of treatment by patients with hemorrhagic diatheses is demonstrated. modern treatment modalities of urinary stone disease are also applicable to those patients, when attention is paid to some conditions and attentive measures are ... | 2011 | 3140528 |
| [more effective and standardized guidelines for travel medicine is wanted]. | | 2011 | 3200018 |
| [termination of early pregnancy with antiprogestin and prostaglandin]. | | 2011 | 3200009 |
| [continuous enteral feeding at a digestive intensive care unit]. | | 2011 | 3147168 |
| self-reported hearing loss among workers potentially exposed to industrial noise--united states. | | 2011 | 3126385 |
| marathon race followed by acute gastric retention. | | 2011 | 3083294 |
| evaluation of obstructive uropathy in children. 99mtc-dtpa renography studies under conditions of maximal diuresis. | renographic studies under standardised conditions of maximal diuresis provoked by hypotonic saline infusion and frusemide were used in 17 patients with dilatation of the upper urinary tract in order to distinguish between obstructed and non-obstructed urinary tracts. of the six patients who were obstructed on clinical and x-ray evidence only three showed an obstructed pattern on the renographic curves after maximal diuresis. after operation these three patients showed improvement in both renogra ... | 2011 | 3886065 |
| onset and development of allergic diseases in children. | | 2011 | 3144132 |
| esthetic partial coverage restorations. | | 2011 | 3248246 |
| amyloidosis. | the clinical amyloidosis syndromes are a heterogeneous group of disorders characterised by abnormal extracellular accumulation of autologous protein material. amyloid deposits are largely composed of insoluble protein fibrils which are intimately associated with sulphated glycosaminoglycan residues. amyloid p component (ap) is a minor but almost universal constituent of the deposits and is derived from the normal circulating glycoprotein serum amyloid p component (sap), a member of the pentraxin ... | 2011 | 3061533 |
| a physician's experiences in a for-profit staff-model hmo. | | 2011 | 3412402 |
| [enteral tube feeding using kozilat in the early postoperative period and in the comprehensive therapy of late radiation-induced enterocolitis]. | | 2011 | 3144100 |
| leads from the mmwr. revision of the cdc surveillance case definition for acquired immunodeficiency syndrome. | | 2011 | 3041060 |
| plasma drug binding: implications for anesthesiologists. | | 2011 | 3087239 |
| compression of left main bronchus and left pulmonary artery by thoracic aortic aneurysm. | | 2011 | 3496747 |
| [aortic amyloid. pathogenesis and significance]. | | 2011 | 3347598 |
| [the bobath concept for the treatment of hemiplegia]. | | 2012 | 3609961 |
| [the bobath concept for the treatment of hemiplegia]. | | 2012 | 3609961 |
| [the immune complex]. | | 2012 | 3548652 |
| [the immune complex]. | | 2012 | 3548652 |
| magnesium in the prevention of lethal arrhythmias in acute myocardial infarction. | seven of 48 patients (14.6%) with acute myocardial infarction who were given 2.4 g of magnesium sulfate as a single intravenous dose had potentially lethal arrhythmias during the first 24 hours after admission, whereas 16 (34.8%) of 46 patients receiving placebo had similar arrhythmias. in addition, 14 of these 16 patients in the placebo group had their first arrhythmia (in the intensive coronary-care unit) within two hours after the start of the study, whereas in the magnesium-treated group, th ... | 2012 | 3548627 |
| magnesium in the prevention of lethal arrhythmias in acute myocardial infarction. | seven of 48 patients (14.6%) with acute myocardial infarction who were given 2.4 g of magnesium sulfate as a single intravenous dose had potentially lethal arrhythmias during the first 24 hours after admission, whereas 16 (34.8%) of 46 patients receiving placebo had similar arrhythmias. in addition, 14 of these 16 patients in the placebo group had their first arrhythmia (in the intensive coronary-care unit) within two hours after the start of the study, whereas in the magnesium-treated group, th ... | 2012 | 3548627 |
| facilitation and inhibition of learning and memory by alcohol. | | 2012 | 4513669 |
| facilitation and inhibition of learning and memory by alcohol. | | 2012 | 4513669 |
| achilles tendon: us examination. | real-time ultrasonography (us) using linear-array probes and a stand-off pad as a "waterpath" was performed to evaluate the achilles tendon in 67 patients (including 24 athletes) believed to have acute or chronic traumatic or inflammatory pathologic conditions. tendons in 23 patients appeared normal on us scans. the 44 abnormal tendons comprised five complete and four partial ruptures, seven instances of postoperative change, and 28 cases of tendinitis. us depiction of the inner structure of the ... | 2012 | 3517959 |
| addiction in pregnancy: high risk intrapartum management and outcome. | drug-dependent women (ddw) have an increased incidence of medical and obstetrical complications; however, little information exists on the intrapartum course and management of these patients. within the context of family center, a study was undertaken to determine if the ddw had normal patterns of labor and if standard intrapartum management is appropriate. the study population included 336 women of which 112 were ddw (72 per cent receiving methadone maintenance). the comparison group of 224 non ... | 2012 | 3504452 |
| hemangioma of the head and neck. | | 2012 | 3484323 |
| circulating concentrations of 1,25-dihydroxyvitamin d3 in patients with primary hyperparathyroidism. | vitamin d metabolism was studied in 65 patients with surgically proven primary hyperparathyroidism. the mean concentration of 1,25-dihydroxyvitamin d3 was 51.7 +/- 34 pg/ml (mean +/- sd) and was not significantly different from normal. renal function was normal in 60 of these patients and in this group circulating 1,25-dihydroxyvitamin d3 was below the lower limit of normal in three and elevated in 17; it was related to the serum concentrations of amino-terminal parathyroid hormone, but was inde ... | 2012 | 3508721 |
| comprehensive study of homicides in south delhi, 1969-79. | | 2012 | 3747769 |
| [clinical study of urinary tract infections in transurethral surgery]. | effect of prophylactic administration of antimicrobials on postoperative urinary tract infection was studied in 40 patients who had undergone transurethral surgery. two gm of cefoperazone (cpz) per day was administered intravenously starting on the day of surgery for 5 days consecutively. in group i, 1 g of cpz was administered 1 hour before surgery and another 1 g after surgery, while in group ii 2 g of cpz was administered after surgery only. thereafter, in either group, 1 g of cpz was adminis ... | 2012 | 3445855 |
| [liver function tests: icg plasma clearance test]. | | 2012 | 3534352 |
| chemical composition of i.u.c.d.s. | | 2012 | 4098811 |
| csf rhinorrhea: detection and localization using overpressure cisternography with tc-99m-dtpa. | we performed 32 overpressure radionuclide cisternography (ornc) studies to examine 26 patients who were clinically suspected of having cerebrospinal fluid (csf) fistula with rhinorrhea. fifteen (47%) of these cisternography studies were positive, and the site of the leak was identified. no leak could be demonstrated in the other 17. of 23 examinations performed in patients who had clinically documented csf rhinorrhea, 15 (65%) were scintigraphically positive. the rapid cephalad transit of the ra ... | 2012 | 3881800 |
| sequential state generation by model neural networks. | sequential patterns of neural output activity form the basis of many biological processes, such as the cyclic pattern of outputs that control locomotion. i show how such sequences can be generated by a class of model neural networks that make defined sets of transitions between selected memory states. sequence-generating networks depend upon the interplay between two sets of synaptic connections. one set acts to stabilize the network in its current memory state, while the second set, whose actio ... | 2012 | 3467316 |
| site-specific covalent modification of monoclonal antibodies: in vitro and in vivo evaluations. | a strategy for covalent modification of monoclonal antibodies utilizing the oxidized oligosaccharide moieties on the molecule was evaluated and compared to more conventional methods. as judged by quantitative in vitro measurements, a monoclonal antibody conjugate prepared via the oligosaccharides retained the homogeneous antigen binding property and affinity of the unmodified antibody. in contrast, conjugates of the same antibody, modified to the same degree on either lysines or aspartic and glu ... | 2012 | 3458222 |
| a decade of lower extremity venous trauma: patency and outcome. | eighty-two patients with infrailiac venous injuries were reviewed. veins were repaired in 75 patients and ligated in 7 patients. clinical outcome could be correlated with anatomic patency for 41 patients who had postoperative venograms. sixty-three percent of the repairs proved to be patent. simple repairs were successful more often than complex ones. site of injury and perioperative therapeutic adjuncts did not affect results. eleven limbs were amputated, none solely because of venous injury. e ... | 2012 | 3425803 |
| aids research centre for madras. | | 2012 | 3410520 |
| relative importance of periodontal disease for full mouth extractions in the netherlands. | in order to determine the relative importance of periodontal disease, caries and non-disease reasons for full mouth extractions, a combined sociodental study was carried out in an urban and a rural area in the netherlands. in the largest proportion of patients (57%) caries was the predominant disease. in only a small group (13%) was periodontal breakdown the predominant characteristic. in 16% of the patients non-disease factors possibly played a role because in this group no generalized periodon ... | 2012 | 3467892 |
| the origin of maternal feelings of guilt in sids. relationship with the normal psychological reactions of maternity. | | 2012 | 3421620 |
| endoscopy in the evaluation of dyspepsia. health and public policy committee, american college of physicians. | | 2012 | 3917639 |
| [cranial nerve vascular syndromes caused by ischemia, cerebral trunk excepted]. | | 2012 | 3542140 |
| scintiphotographic evaluation of patients with suspected left ventricular aneurysm. | | 2012 | 4430102 |
| effects of variant types of child care experience on the adaptive behavior of kindergarten children. | the adaptive behavior of kindergarten children with previous experience in day care centers or in family day care settings was compared and contrasted with that of kindergarten children who had not participated in day care. no significant differences among groups were found on measures of adaptive behavior, communication skills, daily living skills, socialization, or motor skills. the findings suggest that both forms of out-of-home care are suitable options for parents. | 2012 | 3369547 |
| religion, aging, and life satisfaction: an eight-year, three-wave longitudinal study. | | 2012 | 3678906 |
| [perioperative chemotherapy in squamous cell carcinomas of the esophagus]. | in the majority of patients with esophageal cancer local tumor infiltration and/or distant metastases are responsible for the poor prognosis. therefore to improve life expectancy additional modalities - chemotherapy alone or in combination with simultaneous radiation - have been introduced perioperatively. in spite of a possible increase of resectability convincing data are lacking which could argue for an uncontrolled introduction of the neoadjuvant approach outside investigational studies. | 2012 | 3431232 |
| investigation of the long-term effects of unilateral hearing loss in adults. | the recent audiological literature has put forward the hypothesis that children with unilateral hearing loss (uhl) show delays in educational achievement and academic progress and some behavioural difficulties. this motivated us to investigate the long-term effects of monaural auditory deprivation in a group of adults who had suffered from uhl since childhood. a group of subjects, ranging in age from 30 to 55 years, suffering from sensorineural uhl since early childhood, has been examined for ps ... | 2012 | 3390628 |
| [the nature of pathological changes in mottled enamel]. | | 2012 | 3463471 |
| [thermodynamic study of the structure of apomyoglobin]. | sperm whale apomyoglobin structure has been studied thermodynamically at different temperatures and ph of solution by scanning microcalorimetry, viscosimetry, nmr and cd spectrometry techniques. it has been shown that at ph close to neutral, apomyoglobin has a compact highly cooperative structure with a well defined hydrophobic core. the stability of this structure is maximal at 30 degrees c and decreases both with an increase and decrease of temperature. correspondingly, the compact three-dimen ... | 2012 | 3370236 |
| [avascular necrosis of the femur head. epidemiology and treatment]. | | 2012 | 3413852 |
| effect of sucrose concentration in saliva after a sucrose rinse on the hydronium ion concentration in dental plaque. | | 2012 | 3422063 |
| bulimia. | | 2012 | 3316620 |
| factors that modify the effects of prostaglandin on diet-induced acute pancreatitis in mice. | considerable disagreement exists as to whether prostaglandins improve survival in animals with experimental pancreatitis. in prior studies we have demonstrated a beneficial effect of prostaglandin in the choline deficient, ethionine supplemented diet model of acute hemorrhagic pancreatitis. in the present study we have examined the effects of 1) delaying treatment with 16,-16-dimethyl prostaglandin e2 (pge2) till 24 h after introduction of the diet and 2) exposing animals to the test diet for 3 ... | 2012 | 3892653 |
| sickle cell nephropathy: new insights into its pathophysiology. | | 2012 | 3894760 |
| the maturation and recognition of the functional image. | | 2012 | 3330439 |
| poiseuille gold medal award ceremony. laudatio: poiseuille awardee yuan-cheng fung. | | 2012 | 3307941 |
| [eruption of deciduous teeth. general symptoms]. | | 2012 | 3270463 |
| profuse rectal bleeding--an unusual cause. | | 2012 | 3265097 |
| [development of pins for artificial teeth and of a reinforcing element for filling materials]. | | 2012 | 3326220 |
| the area acustico-vestibularis of discoglossus pictus. i. cytoarchitecture and ultrastructure features. | the cytoarchitecture of the area acustico-vestibularis (aav) in discoglossus pictus is studied by means of normal stained material. in addition, the main ultrastructural features of the cells in the aav are described. basically, three different components are found: the dorsal, ventral and medial cell columns. while the two former are made up by the dorsal and ventral nuclei respectively, the medial column is formed by a rostrally located cerebellar nucleus and a caudal nucleus, which extends up ... | 2012 | 3263414 |
| retrospective evaluation of gynecologic cytodiagnosis. ii. interlaboratory reproducibility as shown in rescreening large consecutive samples of reported cases. | two laboratories exchanged and rescreened a large sample of cases with cervicovaginal smears they had consecutively accessioned to examine the reproducibility of gynecologic cytodiagnosis under optimum conditions. at least a "working agreement" (diagnoses within +/- 1 category on a ten-category scale) was achieved in diagnoses of normal, benign reaction and squamous abnormality (from minimal dysplasia though invasive cancer) in 18,859 cases (96.8%), of endometrial abnormality in 21 cases (42%) a ... | 2012 | 3425152 |
| post-polio syndrome. | | 2012 | 3385187 |
| a clinical comparison of subarachnoid catheters to ventriculostomy and subarachnoid bolts: a prospective study. | a subarachnoid catheter (sac) technique of continuous intracranial pressure (icp) monitoring is presented and compared to intraventricular catheters (ivc's) and subarachnoid bolts (sab's) in 40 neurosurgical patients. thirty-one patients were monitored simultaneously with sac's and ivc's and nine patients with sac's and sab's, and the icp waveforms and measurements were compared. the duration of monitoring ranged from 15 hours to 11 days, and the initial icp from 2 to 117 torr. a total of 42 sac ... | 2012 | 3357033 |
| two patients illustrating lymphoma transition and response to therapy in sjögren's syndrome. | two patients with sjögren's syndrome (ss) who subsequently developed malignant b-cell lymphomas are reported in detail. the first patient had both benign- and malignant-appearing lymphoid infiltrates on the same submandibular gland specimen and was successfully treated with combined chemotherapy and irradiation. the second patient developed cutaneous lymphoid infiltrates difficult to diagnose by light microscopy but containing a monoclonal igm-kappa population revealed by immunoperoxidase staini ... | 2012 | 3252807 |
| [cooley's disease and cardiomegaly]. | | 2013 | 4229677 |
| [cooley's disease and cardiomegaly]. | | 2013 | 4229677 |
| [an attenuation correction method of single photon emission computed tomography using gamma ray transmission ct]. | | 2013 | 3874309 |
| treatment of acute non-lymphocytic leukemia in saitama cancer center. | forty patients with previously untreated acute nonlymphocytic leukemia (anll) were treated at saitama cancer center between february 1979 and november 1983. their median age was 43 years (range: 14 to 68 years), 13 patients (32.5%) being 55 years old or older. twenty-three patients had auer bodies. complete remission was achieved in 75.0% of the patients (30/40) with the first line therapy, and in 6 of 7 patients in the second line therapy. thus, the overall remission rate was 90.0%. the median ... | 2013 | 4015043 |
| treatment of acute non-lymphocytic leukemia in saitama cancer center. | forty patients with previously untreated acute nonlymphocytic leukemia (anll) were treated at saitama cancer center between february 1979 and november 1983. their median age was 43 years (range: 14 to 68 years), 13 patients (32.5%) being 55 years old or older. twenty-three patients had auer bodies. complete remission was achieved in 75.0% of the patients (30/40) with the first line therapy, and in 6 of 7 patients in the second line therapy. thus, the overall remission rate was 90.0%. the median ... | 2013 | 4015043 |
| tumoral calcinosis in multiple digits: a case report. | tumoral calcinosis usually appears in the vicinity of large joints, and its appearance in the fingers must be quite rare since no reports of such an occurrence have been found. a case report of the presence of tumoral masses of hydroxyapatite in multiple digits is presented. no causative or related metabolic or collagen-vascular disease was identified, and the patient remains in good health. | 2013 | 4045163 |
| [adult orthodontic treatment]. | | 2013 | 3857805 |
| structure and progestational activity of 13-substituted-18-norpregn-4-ene-3, 20-diones, a pilot study. | 13-ethyl-18-norpregn-4-ene-3, 20-dione (7) and 13-acetyl-18-norpregn-4-ene-3, 20-dione (4) were synthesized and tested in the s.c. clauberg assay. the potencies of these compounds (1x and 1/3 x progesterone, respectively) are compared with those reported for 13-vinyl- and 13-cyanomethyl-18-norpregn-4-ene-3, 20-dione. a comparable activity (1/3 x progesterone) was found for 13-acetyl-18-norpregn-4-en-3-one (10) which lacks the 20-carbonyl group. | 2013 | 3834653 |
| [intraoperative ultrasonic diagnosis: verification of potential applications]. | | 2013 | 3916685 |
| [intraoperative ultrasonic diagnosis: verification of potential applications]. | | 2013 | 3916685 |
| [intraosseous mucoepidermoid carcinoma: review and report of a case]. | | 2013 | 3917216 |
| conformational variability of poly(da-dt).poly(da-dt) and some other deoxyribonucleic acids includes a novel type of double helix. | the article reviews data indicating that poly(da-dt).poly(da-dt) is able of adopting three distinct double helical structures in solution, of which only the a form conforms to classical notions. the other two structures have dinucleotides as double helical repeats. at low salt concentrations poly(da-dt).poly(da-dt) adopts a b-type alternating conformation which is exceptionally variable. its architecture can gradually move in the limits demarcated by the cd spectra with inverted long wavelength ... | 2013 | 3917211 |
| egg envelopes in vertebrates. | as the material presented in this chapter was being collated, our existing perceptions about the basic similarities of vertebrate (and indeed most, if not all, invertebrate) egg envelopes became increasingly strengthened. perhaps without exception, all vertebrate and invertebrate eggs acquire a "vitelline" envelope. interestingly, its filamentous ultrastructure and chemical composition--basically protein and carbohydrate--is similar in all species as is its permeability to large molecules. furth ... | 2013 | 3917202 |
| psychiatric consultation to the medical ward: a group analytic and general systems theory point of view. | | 2013 | 4008135 |
| [external respiratory function and hemodynamics in patients with sarcoidosis of the respiratory organs]. | | 2013 | 4048119 |
| [external respiratory function and hemodynamics in patients with sarcoidosis of the respiratory organs]. | | 2013 | 4048119 |
| isolation and identification of cerebrosides from the marine sponge chondrilla nucula. | a cerebroside mixture has been isolated from the marine sponge chondrilla nucula. acid-catalyzed methanolysis of this cerebroside mixture afforded methyl glucosides, three long-chain bases, and a mixture of alpha-hydroxy fatty acid methyl esters. the bases were identified as saturated c(17), c(18), and c(19) trihydroxy bases (1,3,4-trihydroxy-2-aminoalkanes) by gas-liquid chromatographic-mass spectrometric analysis of their corresponding trimethylsilyl derivatives. the methyl ester fraction cons ... | 2013 | 4832757 |
| cytopathogenic cerebrospinal fluid from neurological and psychiatric patients. | cerebrospinal fluids (csfs) were examined for the presence of a cytopathogenic component by an in vitro assay. no abnormal proteins were detected in csf which produced cytopathic effects. the cytopathic effect was associated with high-molecular-weight material which was resistant to enzyme treatment. the effect persisted after extensive ultraviolet irradiation. the presence of the cytopathic effect was associated with increased csf enolase levels. | 2013 | 3979522 |
| cytopathogenic cerebrospinal fluid from neurological and psychiatric patients. | cerebrospinal fluids (csfs) were examined for the presence of a cytopathogenic component by an in vitro assay. no abnormal proteins were detected in csf which produced cytopathic effects. the cytopathic effect was associated with high-molecular-weight material which was resistant to enzyme treatment. the effect persisted after extensive ultraviolet irradiation. the presence of the cytopathic effect was associated with increased csf enolase levels. | 2013 | 3979522 |
| [nursing care of patients with obesity]. | | 2013 | 3853472 |
| sex education and the adolescent. perspectives from a sex educator. | | 2013 | 3843483 |
| survival guilt and the afro-american of achievement. | success is not without psychological pain for many individuals, and is known to be particularly burdensome for many afro-americans. untoward responses get in the way of ongoing success and dilute their wishes/efforts to make meaningful contributions to others who are struggling to climb another rung in the "achievement ladder." health professionals must remain alert to these problems, and work toward developing and providing effective intervention services-both for guilty achievers and for those ... | 2013 | 3968712 |