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Background: Cancer genetic counseling and testing is a standard of care option for appropriate families and can identify individuals at increased risk prior to diagnosis, when prevention or detection strategies are most effective. Despite documented efficacy of cancer risk reduction in high-risk individuals, underserved and minority individuals have a disproportionate cancer burden and limited access to genetic counseling. Methods: A needs assessment survey documented gaps in knowledge and interest in prevention. Satellite clinics were established at two indigent healthcare systems. Cancer genetics CME lectures were conducted and referral guidelines disseminated to clinicians who referred patients for counseling. Results: An increase in clinician knowledge was demonstrated post-CME and reflected by quality referrals. Eighty-eight percent of patients kept their appointments. In the predominantly Latina6 (n=77) clinic population, 71.4% were affected with cancer, and 17 mutation positive families were identified. Preliminary data shows a positive impact on patients' motivation and behavior. The majority has expressed satisfaction and reduction in anxiety. Conclusions: This study demonstrates feasibility and acceptability of cancer genetics services in this population, suggesting the potential to reduce cancer morbidity in underserved, high-risk families.“Latino” is the most common census term for individuals of Spanish, Mexican, Central and South American, Cuban, or Puerto Rican descent, referring to ethnicity, and is generally considered a more ethnically/culturally based term for individuals of the aforementioned groups. As this cohort is female the feminine noun “Latina” is used  相似文献   
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Recognizing individual faces outside one's race poses difficulty, a phenomenon known as the other-race effect. Most researchers agree that this effect results from differential experience with same-race (SR) and other-race (OR) faces. However, the specific processes that develop with visual experience and underlie the other-race effect remain to be clarified. We tested whether the integration of facial features into a whole representation-holistic processing-was larger for SR than OR faces in Caucasians and Asians without life experience with OR faces. For both classes of participants, recognition of the upper half of a composite-face stimulus was more disrupted by the bottom half (the composite-face effect) for SR than OR faces, demonstrating that SR faces are processed more holistically than OR faces. This differential holistic processing for faces of different races, probably a by-product of visual experience, may be a critical factor in the other-race effect.  相似文献   
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The survey of Paillard pinpoints three important areas of reflection: what new knowledge is added, what are the internal perspectives, and what are the external perspectives.  相似文献   
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This study tested the hypotheses that people had a bias for drawing agents on the left of a picture when given a verb stimulus targeting an active or passive event (e.g., "kicked" or "is kicked") and that orthographic directionality would influence the way events were illustrated. Monolingual English speakers, who read and write left-to-right, and Arabic speakers, who read and write right-to-left, drew agents and patients in response to verb stimuli. We found no significant orthographic directionality effects and no preference for positioning agents on the left of pictures in either group or sentence type. Instead, participants drew agents on the right regardless of language or sentence type, and this was exaggerated in English speakers illustrating passive verbs. These findings support the existence of a preference for placing agents in the right hemispace that may result from asymmetrical hemispheric (i.e., left>right) activation induced by language processing. Our results are consistent with findings that people prefer pictures in which focus is on the right, a preference strongest in pictures with no implicit directionality of movement. This suggests that the methodology of the current study encouraged a static rather than dynamic interpretation of the verb in most participants.  相似文献   
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Although work and family social support predict role stressors and work-family conflict, there has been much ambiguity regarding the conceptual relationships among these constructs. Using path analysis on meta-analytically derived validity coefficients (528 effect sizes from 156 samples), we compare three models to address these concerns and clarify relationships. Results revealed that social support, controlling for role involvement, is best viewed as an antecedent of role stressors and subsequent work-family conflict. Controlling for work and family involvement, work and family social support were most related to same domain role conflict (β = −.46, p < .05; β = −.43, p < .05) and role ambiguity (β = −.28, p < .05; β = −.33, p < .05). Subsequently, work role conflict and time demands were most related to work-to-family conflict (β = .39, p < .05; β = .21, p < .05), while family role conflict and role ambiguity were most related to family-to-work conflict (β = .22, p < .05; β = .24, p < .05). Implications for research and practice, along with suggestions for theoretical advances, are discussed.  相似文献   
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An operant conditioning situation for the blow fly (Protophormia terrae novae) is described. Individual flies are trained to enter and reenter a hole as the operant response. Only a few sessions of contingent reinforcement are required to increase response rates. When the response is no longer followed by food, the rate of entering the hole decreases. Control procedures revealed that rate of responding is not a simple overall result of feeding or of aging. The flies entered into the hole only if the response was required to obtain the food.  相似文献   
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