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Biomedical subjects

E W Collins

Publications and source records attributed to E W Collins.

10 recordsLinked to original sources

The Children's Depression Rating Scale for normal and depressed outpatients.

The Children's Depression Rating Scale (CDRS) was devised by Poznanski, Cook, and Carroll in 1979, to diagnose depression in 6- to 12-year-olds. The authors state a score of 30 indicates significant depression, with scores in the 20 to 30 range indicating borderline depression. Normative outpatient data for the CDRS have not, however, been established. In this study, 25 apparently well-adjusted children from a pediatric primary care unit were evaluated by the CDRS. Their scores (ranging from 16 to 18) differed significantly from the normal values noted by the founders of the scale, based on the study of inpatients. On the other hand, a study of six of our clinically depressed children indicated scores of 22 to 49. With this definition of the normal score the outpatient child who scores greater than 20 is classified as in need of close follow up to determine if he is depressed.

Child

Other health problems of children with acute otitis media.

To help clarify whether acute otitis media is associated with a different frequency of other health problems compared to other acute illnesses, 77 acute otitis patients (average age two years, three months) seen in a university-affiliated pediatric primary care facility were studied. Each was paired with a patient of the same age and sex who presented at the same time with another acute health problem. No differences were detected between the two sets of patients in the frequency of neonatal or prior health problems, except that the patients with acute otitis media had had more previous episodes of this condition than the other patients. At the time of presentation both sets had similar growth and socioeconomic status, and during the year after presentation no differences were noted in the type or number of health problems.

Child

An attempt to influence health care visits of frequent hospital emergency facility users.

In this study, 445 patients under 19 years of age who visited an urban hospital emergency facility for acute illnesses four or more times over 2 years were randomly divided into two groups. The parents of 230 of the patients received three letters that stressed the value of continuous pediatric care and the lack of continuity available in emergency facilities. The letters indicated a willingness to offer advice as to how they could obtain continuing care. The remaining 215 patients served as controls. During the following year, the patients whose parents received the letters and the controls were compared in their visits to the hospital's emergency facility, primary care unit, and subspecialty clinics. Very few differences were noted between the two groups.

Acute Disease

Pediatric accident prevention.

Accidents remain a major health problem for children of all ages, in spite of attempts at prevention by industry, health workers, educators, and legislation. In order of decreasing frequency, serious pediatric accidents include moving-vehicle accidents, water-related accidents, burns, poisonings, and falls. Their cause, severity, and prevention will be considered, with future challenges emphasized.

Accident Prevention