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Biomedical subjects

E W Jackson

Publications and source records attributed to E W Jackson.

At least 19 recordsLinked to original sources
PubMed2005

Women, Co-occurring Disorders, and Violence Study: evaluation design and study population.

The Women, Co-occurring Disorders, and Violence Study (WCDVS) was a multi-site cooperative study to evaluate new service models for women with co-occurring mental health and substance use disorders and a history of physical and/or sexual abuse. Despite common features in the service interventions and evaluation procedures, diversity across the nine sites plus differences introduced by non-random assignment led to numerous methodological challenges. This article describes the design, measurement, and analysis decisions behind the WCDVS and lays the foundation for understanding participant-level outcomes and service costs. This article also describes the study population, as recruited and following attrition at the 6-month follow-up, in order to address the threat of selection bias to inferences drawn from this multi-site study.

Adult↗
PubMed1999

Postbaccalaureate Medical/Dental Education Preparatory Program (MEDPREP) at Southern Illinois University School of Medicine.

Between 1972 and 1998, the state and federally funded Medical/Dental Education Preparatory Program (MEDPREP) at Southern Illinois University School of Medicine served approximately 900 qualified minority and disadvantaged students, in an effort to increase the number of underrepresented-minority (URM) students accepted into and retained in health professions schools. To help students improve their application credentials, this post-baccalaureate program establishes high expectations for student progress, designs individual curricula, offers extensive academic and personal counseling, has its own teaching faculty, and operates in a specially equipped, designated facility. This supportive educational environment has demonstrated success. By 1998 over 500 MEDPREP students had been accepted into medical or other health professions schools, and 86% of them had graduated or were scheduled to graduate. And while the number of new URM entrants to medical schools declined nationwide from 1995 to 1997, 70 URM students from MEDPREP matriculated to 28 different allopathic medical schools, eight entered three different osteopathic medical schools, and two entered dental schools. Recent data indicate that the score changes of Medical College Admission Test (MCAT) repeaters who were MEDPREP students were larger than those of all MCAT repeaters reported by the Association of American Medical Colleges (AAMC). In fact, the MEDPREP repeaters' score changes were two to nearly six times greater than the overall changes reported by the AAMC. These gains suggest that a carefully designed, long-term post-baccalaureate intervention such as MEDPREP can increase the pool of qualified URM and disadvantaged students accepted into and retained in health professions schools.

Adult↗
PubMed1997

Effect of co-occurrence on the referability of internalizing and externalizing problem behavior in adolescents.

Assessed the effect of co-occurring versus not co-occurring internalizing and externalizing behavior problems on the reasons parents reported for clinical referral of their adolescent child. Reasons for referral were coded for 181 inpatient adolescents, and parent ratings of internalizing and externalizing behavior were obtained for a general population sample of 500 adolescents. Parents concurrently reported internalizing and externalizing behavior as reasons for referral less frequently (p < .0001) than would be expected given the correlation between these two domains in the general population sample. This suggests that the presence of externalizing problems may decrease parents' concern or awareness of internalizing problems, the presence of internalizing problems may decrease parents' concern or awareness of externalizing problems, or both. Implications for the clinical referral of adolescents and for informal parental efforts at helping their children with externalizing and internalizing problems are discussed.

Adolescent↗
PubMed1995

A multimethod study of problem behavior among Thai and American children in school: teacher reports versus direct observations.

Previous literature describes Thai children as unusually polite, deferent, and behaviorally restrained. Yet, in a recent study employing teacher reports, Thai children were reported to show many more behavior problems than American children. Such a finding may reflect culture-linked differences in the perspective of Thai versus American teachers. To explore this possibility, we used trained observers to conduct direct observations of Thai and American children's school behavior, and we obtained teacher reports on the same children. Observational results were precisely the opposite of previous and present teacher-report findings: Observers reported twice as much problem behavior and off-task behavior in American children as in their Thai age-mates. This pattern may reflect Thai-U.S. differences in teachers' style, societal values and practices, even child temperament. The finding support the value of direct behavior observation in cross-national research on child problems.

Child↗
PubMed1994

Twenty-year follow-up of an enrichment program for students preparing for health professional schools.

BACKGROUND: From 1972 to 1992, the Medical/Dental Education Preparatory Program (MEDPREP) of the Southern Illinois University School of Medicine served 584 underrepresented-minority and educationally disadvantaged students as they prepared for admission to health professional schools. METHOD: For students who had concluded their MEDPREP participation by September 1992, data analysis was performed in terms of gender, race-ethnicity, rates of acceptance and retention, and type of professional school. In addition, a sample of 30 medical school graduates was examined for type of practice and specialty. RESULTS: A total of 350 (60%) of the MEDPREP participants had been accepted to professional schools. Of those accepted, 246 (70%) were members of groups underrepresented in medicine, 301 (86%) had graduated or were in school, and 305 (87%) had been accepted to a total of 47 medical schools. Of the sample of 30 medical school graduates tracked for type of practice and specialty, 28 (93%) were providing direct patient care and 21 (70%) were board certified in the primary care specialties of family practice, pediatrics, obstetrics-gynecology, and internal medicine. CONCLUSION: Because MEDPREP has high rates of acceptance, matriculation, and graduation for its participants, and because such a high percentage of its medical school graduates entered primary care, the program may serve as a model intervention for providing more underrepresented minorities and generalists in medicine.

Education, Predental↗
PubMed1991

Adult attitudes toward over- and undercontrolled child problems: urban and rural parents and teachers from Thailand and the United States.

In a study of adult attitudes, urban and rural parents and teachers in Thailand and the U.S. made judgments about two children, one with overcontrolled problems (e.g. shyness, fear), one with undercontrolled problems (e.g. disobedience, fighting). Consistent with previous literature, Thais (vs Americans) rated problems of both types less serious, less worrisome, less likely to reflect personality traits, and more likely to improve with time. Urban-rural differences and parent-teacher differences had negligible impact. The findings suggest that certain cultural differences in adult attitudes toward child problems may be robust across parents and teachers and across urban and rural settings.

Adult↗
PubMed1989

Predicting the medical school progress of minority students who participated in a preparatory program.

The grade-point averages (GPAs), Medical College Admission Test (MCAT) scores, and Student Progress Committee (SPC) ratings of 75 minority students who had attended a preparatory program at Southern Illinois University School of Medicine at some period from 1976 through 1986 were analyzed to determine how these variables related to the retention and progress of these students in medical school. Although those retained had higher SPC ratings than those not retained, stepwise regression revealed that none of the variables predicted retention. The MCAT Reading score, however, was significantly higher for students who progressed on schedule; it was the only significant predictor of progress.

Education, Medical↗
PubMed1988

The limitations of traditional variables in predicting the progress of nontraditional students.

The traditional preadmissions variables of GPA's, MCAT scores and recommendation decisions of a group of nontraditional medical students who enrolled from 1978-1983 were examined to determine 1) the degree to which a classification model derived from the variables to predict whether they would graduate on schedule, graduate off schedule or not graduate would be applicable to a second group of nontraditional students who enrolled from 1984-1987, and 2) which variables would predict whether the students would graduate on schedule, graduate off schedule or not graduate. The discriminant model correctly classified only 33 percent of the students in the second group; the MCAT Reading score, the only significant predictive variable, accounted for 26 percent of the variance in the progress of the students in the first group.

Education, Medical, Undergraduate↗
PubMed1987

History of not completing courses as predictor of academic difficulty among first-year students.

The study reported here was undertaken to determine whether the prediction of academic difficulty in the first year of medical school is enhanced by a consideration of the number of courses withdrawn from, repeated courses, and incomplete courses on a student's undergraduate academic record. All students enrolled from 1981 through 1985 at Southern Illinois University School of Medicine who experienced academic difficulty in the first year were selected for the study. Successful students were matched with these students in terms of minority or majority status and served as a control group. Discriminant and classification analyses were performed in a hierarchical stepwise manner to predict success or difficulty in the first year. The variables that were significant in discriminating between minority students who had academic difficulty and those who did not were the science grade-point average (grades in biology, chemistry, physics, and mathematics), the score on the reading subtest of the Medical College Admission Test (MCAT), and the number of withdrawals from courses. For majority students, the significant discriminating variables were the score on the MCAT biology subtest and the number of incompletes taken for courses. The results of this study have implications for medical school admissions committees, premedical advisers, and premedical students.

Education, Medical, Undergraduate↗
PubMed1977

Pseudomonas pneumonia in status asthmaticus.

A case of Pseudomonas pneumonia developing in a patient on treatment for status asthmaticus is described. The use of broad spectrum antibiotics, high dose steroids and humidifiers or nebulizers may be of aetiological importance. Pseudomonas pneumonia is increasing in prevalence although it has not previously been described in association with status asthmaticus. It carries a high mortality and its prevention is, therefore, clearly important.

Adult↗
PubMed1976

Phaeochromocytoma with myocarditis managed with alpha-methyl-p-tyrosine.

A case of bilateral phaeochromocytoma with catecholamine-induced myocarditis is described. The two operations needed allowed comparison of the use of alpha-methyl-p-tyrosine alone and in conjunction with adrenergic blocks in the management of the patient. The combination of both drugs was particularly successful in the relief of symptoms and reduction of catecholamine metabolism as monitored by 4-hydroxy-3-methoxymandelic acid (HMMA) excretion. As myocarditis is a potentially fatal complication, further investigation of the combined use of alpha-methyl-p-tyrosine and adrenergic blocking drugs is suggested in the pre-operative management of patients with phaeochromocytoma.

Adrenal Gland Neoplasms↗
PubMed1971

Therapeutic abortions in California.

Therapeutic abortions in California have increased from 5,030 in 1968 to 15,339 in 1969, and over 60,000 are estimated for 1970. Also, there are pronounced regional differences in therapeutic abortions relative to live births. In 1969 the San Francisco Bay Area had six times as many abortions (115 per 1000 births) as did the Los Angeles Metropolitan Area (19). Preliminary figures for 1970 indicate this difference may be narrowed to a two-fold difference by the end of the year. Experience in other countries indicates morbidity and mortality risks are high in procedures done after the twelfth week, and in California one abortion in four is done after this period. Planning is needed to assure access to abortion services in all areas of the State and to meet the obligations of law and equity implicit in the Therapeutic Abortion Act. This should include counseling, follow-up, and referral services and not just the abortion procedure alone. Extension and more effective use of family planning services could substantially reduce unwanted pregnancies and the consequent demand for abortion. Efforts are also indicated to reduce the proportion of women terminating pregnancy after the twelfth week of gestation.Deaths associated with illegal abortions have decreased from 35 in 1966-1967 to 22 in 1968-1969. This is consistent with the view that the number of illegal abortions is decreasing.

Abortion, Therapeutic↗