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B J Abrams

Publications and source records attributed to B J Abrams.

4 recordsLinked to original sources

Radiographic imaging modalities for the patient in the emergency department with abdominal complaints.

The emergency physician should be aware of the sensitivity and specificity of any radiologic study being considered. Radiographic examinations should be used to answer specific questions raised by the history and physical examination. The need to obtain a given radiologic evaluation should be based on the potential information it may reveal and the likelihood that this information will alter patient care. This cost-effective approach minimizes unnecessary radiation exposure and has been advocated by many authorities. The emergency physician should resist the "knee jerk" tendency to order radiographs to reassure himself or herself of the safety of the patient at discharge. Documentational and legal concerns are equally invalid reasons, as is the feeling that "it's what we always order for patients with this abdominal complaint." A given study may be indicated if the yield is acceptable and treatment of the patient may be altered by the results.

Abdominal Pain

Exuberant keloidal formation.

Keloids are disfiguring deformities that occur after trauma or wounding of the skin, most commonly among blacks. The case presented here is unusual because of the number of keloids and the massive size of one. The patient underwent full surgical excision together with intraoperative and postoperative steroid injections with good cosmetic results. Various causes of keloids are reviewed as are the histopathologic differences between hypertrophic scars and keloids. Alternative surgical and nonsurgical treatment techniques are examined.

Adult

The values and value stability of emotionally handicapped and normal adolescents.

This study addresses two basic questions: (1) Do the value rankings of conduct-disorder, anxiety-withdrawal, and normal adolescents differ? (2) Are the value rankings of the two groups of emotionally handicapped adolescents less stable than the value rankings of the normal group? Value stability was viewed in relation to the broader concepts of identity and psychopathology. While a number of studies have examined value differences among different groups of adolescents, few studies have examined the value stability of adolescents. A total of 148 15- to 18-year-old adolescents were administered the Rokeach Value Survey on two separate occasions (3-week interval) to measure value differences and value stability. The two groups of emotionally handicapped adolescents were classified using the Revised Behavior Problem Checklist. Results revealed that all three groups shared similar values; very few value differences across groups were found on both testings. All three groups shared moderate to low levels of value stability. The findings suggest that both types of emotionally handicapped adolescents are similar to normal adolescents in their stated values and the stability of those values. Results are discussed in terms of possible explanations of the findings, and implications for those who work with adolescents and for future research on adolescent values.

Adolescent