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Biomedical subjects

C J Schmittdiel

Publications and source records attributed to C J Schmittdiel.

3 recordsLinked to original sources

Predicting alcoholism manpower needs.

In response to the needs both to develop new, nonduplicative alcoholism services and to contain cost, and in order to plan for the labor-intensive alcoholism treatment system, planning techniques are needed to assist in the rational planning for and allocation of manpower. Using data from the 1980 National Drug and Alcoholism Treatment Utilization Survey, it is possible to analyze the staffing patterns of various modalities of alcoholism treatment. Two regression equations were developed to identify key variables for predicting manpower needs in various facilities. Budget, service type, and treatment capacity were statistically significant predictions of direct-care FTE staff in inpatient/residential units. The best predictive ability for direct-care FTE staff in detoxification and longer-term residential facilities was obtained with a general regression model which was based on all types of services (e.g., detoxification, longer-term residential, and outpatient). For outpatient settings, however, direct-care FTE staff was best predicted by considering budgets and treatment capacities within outpatient settings only. Based on this study, a planner can predict, with reasonable confidence, FTE direct-care staff by varying the values of the independent variables in the regression equation to reflect the various characteristics of the services being planned.

Alcoholism↗

Predicting alcoholism service needs from a National Treatment Utilization Survey.

Even when the prevalence of alcohol abuse and alcoholism allows for resource allocation based on differential problem size, further planning methods are necessary in order to determine what specific types of services should be developed to meet the estimated need. Using population-based variables (e.g., total population, White and minority populations) and easily obtainable alcohol indicator variables (consumption, revenue, alcohol-related deaths and arrests), regression models were developed to predict state bed capacity data, obtained from the 1980 National Drug and Alcoholism Treatment Utilization Survey (NDATUS). Prediction models are presented for detoxification, quarterway and halfway house, other residential, hospital, and outpatient. Several variables, particularly total population, deaths, and arrests, are predictive of alcoholism service levels by state, as reflected on NDATUS. Based on this study, estimates of specific service needs within a geographic area can be made by varying the values of the independent variables in the models to reflect the characteristics of the area.

Alcoholism↗

Behavioral effects of aluminum ingestion on animal and human subjects.

Abnormally high brain aluminum concentrations have been detected in hemodialysis patients who died of an unexplained encephalopathy. As a result, this study was undertaken to examine whether the ingestion of aluminum produces behavioral aberrations in non-dialysed human subjects and rats with ostensibly normal renal function. Rats were fed AlCl3 by intubation in varying doses, and tests measuring learning ability, visual temporal acuity, motor coordination and activity were administered. It was found that orally ingested aluminum is absorbed by rats and deposited in the brain. High brain aluminum levels are associated with rapid general activity, decreased ability to maintain roto-rod activity, and increased sensitivity to flicker. Behavioral tests were also given to elderly human subjects and performance correlated with serum aluminum level. High serum levels of aluminum in elderly humans are associated with impaired visuo-motor coordination, poor long-term memory, and increased sensitivity to flicker.

Aged↗