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Biomedical subjects

M A Waller

Publications and source records attributed to M A Waller.

3 recordsLinked to original sources

Resilience in ecosystemic context: evolution of the concept.

The evolution of the resilience literature across diverse social science disciplines over the past two decades is reviewed and a synthesis of recent findings is offered, suggesting that resilience is a multidetermined and ever-changing product of interacting forces within a given ecosystemic context. Emerging constructions of the concept are examined, and a refined Working definition is proposed. Implications for research and practice are offered.

Adaptation, Psychological↗

Gay men with AIDS: perceptions of social support and adaptational outcome.

Using a multivariate design, this study examined social support as a mediating variable between the stressor of AIDS and adaptational outcome in a culturally and socioeconomically diverse sample of 60 urban gay men with AIDS. Whereas earlier studies have suggested that social support for gay men with AIDS is often lacking or ineffective, findings in this study indicated that family of origin and friends may provide more support to gay men with AIDS than has been generally recognized. Both family of origin and friend support were strongly correlated with positive outcomes, indicating that social support was not only forthcoming but was also effective. The relationship between family of origin support and positive outcomes was particularly strong.

Acquired Immunodeficiency Syndrome↗

Outpatient cochlear implantation in the pediatric population.

Studies have shown that the incidence of complications in pediatric cochlear implant surgery is related to the age of the child, with a higher complication rate in younger patients. Consequently, many surgeons advocate admitting these children overnight. We began our pediatric cochlear implant program starting in June 1991 using the Nucleus 22-channel cochlear implant. To date, 65 children have undergone implantation, all on an outpatient basis. To evaluate safety, complication rate, and patient satisfaction, we gave the parents of the patients a questionnaire survey to complete. All patient charts were also retrospectively reviewed. More than 90% of parents surveyed responded that they were satisfied with the outpatient treatment of their children. There were no perioperative complications or readmissions. Cochlear implantation can be safely and effectively performed on an outpatient basis without an increase in morbidity. Day surgery reduces hospital costs at least $2500.

Adolescent↗