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Biomedical subjects

H Lawrence

Publications and source records attributed to H Lawrence.

7 recordsLinked to original sources

Maltreated children's self-concept: effects of a comprehensive treatment program.

Perceived competence and social acceptance scores of 17 maltreated children enrolled in therapeutic day treatment were compared to those of 17 maltreated children who had not received the program services. Multivariate and follow-up univariate analyses indicated developmental gains and enhancement of self-concept among the treatment group when compared to controls and to their own pretreatment levels.

Child Abuse

An evaluation of the alternatives approach to drug abuse prevention.

An alternatives-oriented, school-based drug abuse prevention program, Positive Alternatives for Youth (PAY), was evaluated over a 2-year period. Using a random-assignment, pretest-posttest control group design, 135 PAY students and 106 control group students were assessed on several attitudinal and behavioral measures of drug use. During the first year significant differences were detected between PAY and control students. Fewer differences were found in the second year, although a special analysis showed evidence of impact on PAY students rated as more involved in program activities. Reasons for specific results are discussed and implications are drawn for the alternatives approach and the field of drug abuse prevention.

Adolescent

Seeking quality.

Explore the source record for details and available documents.

Accreditation

Post-traumatic bronchial stenosis and acute respiratory insufficiency.

A 31-year-old woman sustained multiple injuries, including severe contusion of the right lung with massive subcutaneous emphysema. Four weeks later she was transferred to our institution with post-traumatic adult respiratory distress syndrome and carbon dioxide retention, resulting from a postlaceration stenosis of the left main-stem bronchus. Bronchoplasty was contraindicated because of the serious condition of the patient. Repeated bronchial dilatations produced initial improvement in oxygenation and minute ventilation requirements. However, because of the nature of the stenosis and the lack of recovery of right lung function, the patient's encouraging clinical course reached a plateau and attempts at weaning from the respirator were unsuccessful. Bronchoplasty was performed on postadmission day 50 and resulted in gradual recovery of pulmonary function. Six months following discharge, the patient continues a steady improvement. Management of the patient's injuries represented a unique challenge previously unencountered.

Adult