Biomedical subjects
Publications and source records attributed to M Kay.
We describe four cases of ocular trauma incurred while playing women's lacrosse without eye protection. Women's lacrosse is potentially hazardous because, unlike men's lacrosse, helmets and face masks are not required. These ocular injuries could have been prevented with the use of protective eyewear.
This longitudinal study of older Anglo and Mexican-American widows provides data on coping strategies and coping effectiveness as measured by perceived physical and psychological health. Previous health levels were the best predictors of later physical and psychological symptoms. Contrary to expectations, both ethnic groups preferred nonconfrontational strategies for widowhood problems, with the Mexican Americans using more confrontational strategies. Ways of coping with problems during the first months of widowhood had significant long-term effects upon the widow's health. The most effective coping methods over the first year involved combinations of independent action and emotional release. Over a longer period, more effective strategies included being able to ignore problems, accept the situation, and release tensions, or to actively seek advice about general problems. Contradictory findings over the two time periods for those Mexican Americans using independent action and emotional release strategies appear to be related to cultural patterns of familial support after a death occurs.
One hundred widows participating in experimental research entitled Efficacy of Support Groups for Mexican American Widows were studied to learn how they express the loss of their husbands. Mourning practices, acknowledged symptoms of dysphoria, and somatic reactions were studied to learn if the syndrome of nervios subsumes their reaction to bereavement. In addition, their responses to instruments designed to measure depression, the Spanish version of the Beck Depression Inventory and the Center for Epidemiologic Studies Depression Scale, were examined for correlation with nervios and relationships to Mexican American acculturation. Nervios seems to be a manifestation of dysphoria rather than a specific syndrome for these women.
The lexicon of illness terms used by Mexican American women is affected by the practice of speaking both Spanish and English and by the coexistence of several health systems. When there is changning participation in various health systems, with increasing interference and code switching, linguistic evidence for these changes may be found. In some cases an English disease name is borrowed. In others, a cognate is coined from an English disease name. Some terms, now no longer useful, are dropped. Finally, some Spanish disease names which do not have equivalents in English or in scientific medical theory may be retained, but there is a shift in the meaning of the words themselves. The direction of the shift is towards semantic correspondence with the concepts of scientific medicine. In these ways the medical lexicon is changed, with the changes reflecting a new medical culture.
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