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Biomedical subjects

I Silverman

Publications and source records attributed to I Silverman.

18 recordsLinked to original sources

Substance use/misuse among female prostitutes and female arrestees.

The literature has documented the correlation between prostitution and drug use/misuse. This study probed demographics, drug use experimentation and frequency, age of first drug use, and drug use treatment among 53 female prostitutes and 47 female arrestees. The results indicated that: 1) prostitutes were likely to drop out of school; 2) significantly more prostitutes had tried drugs, had used drugs with greater frequency and had begun drug/alcohol use at younger ages. These results imply that: 1) early drug/alcohol use and withdrawal from school could leave young women vulnerable and at higher risk of becoming involved in prostitution; and 2) drug use treatment and intervention needs to begin at younger ages.

Adolescent

Retropubic vaginopexy for correction of urinary stress incontinence.

One of the most important principles of surgical correction of urinary stress incontinence is the restoration of the urethrovesical angle to its original anatomic position. A new variant of urethropexy, suspending the vaginal wall from the anterior rectus fascia, is presented. To accomplish this goal, a special ligature carrier needle was designed. The ligatures are carried with this needle from the vaginal wall, through the space of Retzius, and upward above the rectus fascia where they are tied across the midline, one side to the other. This report describes the new method in detail. Using this technique, urethropexy was performed on 98 patients at the UCLA Olive View Medical Center. The overall cure rate for urinary stress incontinence was over 95% at 6-months to 3-year follow-up. The most common complications were postoperative urinary retention and urinary tract infection. The average length of hospitalization was 5 days.

Abdominal Muscles

Outcomes of pregnancy for addicts receiving comprehensive care.

This study reports pregnancy outcomes for 105 addicted women enrolled in New York Medical College's Pregnant Addicts and Addicted Mothers Program. Three classes of variables are examined: prenatal care variables, obstetrical outcomes, and neonatal outcomes. As a first step, percentage distributions are shown for all variables within each class. With respect to the second and third classes, comparisons are made when possible to findings reported elsewhere on heroin-addicted, methadone-maintained, and drug-free populations. Zero-order correlations are then shown for the prenatal care variables versus the neonatal outcomes. It is found that the mother's number of prenatal medical visits correlates significantly with the neonate's gestational age at birth and birth weight, and that her methadone dose at time of delivery correlates significantly with the neonate's withdrawal status. The effect of the prenatal care variables on the two key neonatal outcomes--gestional age at birth and birth weight--is then examined via a stepwise regression analysis. It is found that two of the variables--gestional duration at first prenatal visit and number of prenatal visits--together account for 18.5% of the variance in birth weight and 26.9% of the variance in gestational age at birth, while maternal methadone dose has virtually no effect on these outcome measures. The findings indicate that better neonatal outcomes are associated with the mother's joining the program relatively early in pregnancy and coming in relatively often for prenatal care.

Adult

Eli Friedman.

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Boston