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Biomedical subjects

C J Furst

Publications and source records attributed to C J Furst.

10 recordsLinked to original sources

Nonimpact brain injury: neuropsychological and behavioral correlates with consideration of physiological findings.

This retrospective clinical study investigated the neuropsychological, physiological, and behavioral functioning of 32 adult outpatients up to 65 months following nonimpact brain injury (i.e., whiplash). All participants were administered a flexible battery of cognitive tests, and some underwent neurodiagnostic procedures and sleep studies. Compared with published norms, neuropsychological data revealed significant and persistent age-adjusted cognitive deficits, primarily in the area of executive functioning. Participants frequently complained of problems with behavioral control, sleep, and sexuality. Although structural neuroimaging was not sensitive in detecting brain pathology, quantitative electroencephalography was abnormal in all the participants evaluated, showing frontocentral slowing and increased spike wave activity. We propose that whiplash injury can produce wide-ranging circuitry dysfunction and that test selection is critical in identifying cognitive deficits.

Adolescent↗

Normative data stratified by age and education for the Neuropsychological Screening Battery for Hispanics (NeSBHIS): Initial report.

Neuropsychological assessment of monolingual Spanish-speaking people in the United States is both a common practice and an ethical dilemma. Lack of appropriate tests, the absence of norms, use of interpreters, and the multiplicity of in-house translations of commonly used measures add to the problem of accurate assessment. This paper helps address the lack of appropriate measures for the neuropsychological assessment of Latinos in the United States by providing a standardization of the Neuropsychological Screening Battery for Hispanics (NeSBHIS). Normative data on a sample of 300 Hispanic subjects stratified by gender, age, and education are provided. Current results reveal that not one measure of cognitive functioning is free from education effects. Both nonverbal measures and psychomotor speed measures were highly related to education. Age effects were noted on measures of psychomotor speed, visuospatial reasoning, and visuoconstructive skills. Gender effects were found on measures of psychomotor speed and language, with males achieving higher scores than females. The limitations of the current findings are considered. Further research for the validation of the NeSBHIS with clinical populations, as well as further normative data collection at the national and international levels, is needed.

Adolescent↗

Estimating alcoholic prevalence.

Alternative methods for estimating the prevalence of alcoholism and alcohol problems are reviewed and evaluated. No standard method has emerged to fill the void left by the Jellinek formula, now generally recognized as invalid. Currently viable methods include techniques based on alcohol mortality data, alcohol consumption data, data from general population surveys, and data on clients in treatment. Different methods contain implicit and differing definitions of alcoholic populations, and the choice between alternative techniques may depend on the purposes of prevalence estimation. The disaggregate nature of societal problems with alcohol suggests that a single number may not capture the totality. However, for the practical applications of estimating need for treatment services and for monitoring the level of alcohol problems and alcoholism across local areas and across time, projections based on per capita consumption offer the most useful and valid figures.

Alcohol Drinking↗

Validity of synthetic estimates of problem-drinker prevalence.

For the purpose of evaluating their validity, survey-based synthetic estimates of problem-drinker prevalence in California's counties were correlated with social indicators of alcohol abuse. Prevalence estimates were predictive of automobile accidents and drunk-driving arrests but not of other problems. Data on drinking practices from a statewide survey provide more valid estimates than national survey data. Taking into account empirical and other factors impinging upon the validity of this prevalence formula, it is concluded that synthetic estimates provide a defensible but limited basis for estimating needs for alcoholism services in small areas.

Accidents, Traffic↗