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Biomedical subjects

C A Berry

Publications and source records attributed to C A Berry.

81 records · Page 5Linked to original sources

The medical legacy of Gemini.

The Mercury and Gemini space flights have provided approximately 2,000 manhours of weightless exposure which can be used in comparing flight results with the predicted effects of manned space flight. In general the environmental hazards and the effects upon man appear to be of less magnitude than originally anticipated. The effects noted on the various body systems are summarized. The principal physiologic changes noted were orthostatism for some 50 hours post-flight, reduced red cell mass, and reduced X-ray density in the os calcis and the small finger. Much was learned about man's ability to work in a pressurized suit in the extravehicular condition. Early biochemical findings have pointed the way to future investigations. All of these findings are of importance in relation to the planning for future long duration missions. Although much remains to be learned, it does appear from an overview of this medical legacy that if man is properly supported and evaluated his limitations will not be a barrier to the exploration of the universe.

Adaptation, Physiological↗

Development of the diabetes problem-solving measure for adolescents.

PURPOSE: This paper describes the development and psychometric properties of the Diabetes Problem-Solving Measure for Adolescents (DPSMA). METHODS: The DPSMA is a structured, interview-based questionnaire that examines how adolescents with type 1 diabetes solve diabetes-related self-management problems. Seventeen diabetes-related self-management problem vignettes were derived from a survey of adolescents and their parents. The vignettes were reviewed and finalized by a multidisciplinary team of diabetes experts. A sample of 43 adolescents, 13 to 17 years old, with type 1 diabetes, was used to establish the psychometric properties of the instrument. RESULTS: The scale demonstrated acceptable internal consistency and interrater reliability. Predicted relationships with scores on concurrently administered measures of adherence, diabetes quality of life, and metabolic control provided support for construct validity. CONCLUSIONS: The results suggest that the DPSMA has acceptable internal consistency, interrater reliability, and construct validity. It may be a useful tool to help healthcare providers understand the diabetes-related problem-solving abilities of their adolescent patients.

Adolescent↗

The relationship of life stressors and maternal depression to pediatric asthma morbidity in a subspecialty practice.

OBJECTIVE: To examine the relationships among demographic characteristics, caregiver life stressors, and depressive symptoms of mothers and their children's asthma morbidity. SETTING: Three pediatric asthma subspecialty programs, 2 in the inner city and 1 in the suburbs. DESIGN: Cross-sectional census sample of caregivers of children with asthma: interviews mostly with mothers (N = 123) regarding their children's asthma symptoms and health care utilization. Information collected on demographics and caregivers' own recent life stressors and depressive symptoms. SUBJECTS: Caregivers of children ages 18 months to 12 years with asthma at their subspecialty visit. MEASURES: Structured interviews: a survey instrument prepared for this study and standardized instruments for depression (Center for Epidemiologic Studies--Depression) and life stressors (Crisis in Family Systems). RESULTS: A total of 32% of respondents' children had high asthma morbidity, 28% intermediate, and 40% low. Caregiver life stressors and depression and the children's sex showed the strongest relationships to asthma morbidity in a model that also included race, residence, and Medicaid status. Children were more likely to have high morbidity if they had caregivers with more depressive symptoms and negative life stressors and if they were female. CONCLUSIONS: Respondents experienced many life stressors and symptoms of depression while managing their children's illness. Caregivers' lives may affect their children's asthma morbidity, offering empirical evidence for the potential value of targeted case management for children in subspecialty care.

Analysis of Variance↗