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Biomedical subjects

N Long

Publications and source records attributed to N Long.

28 records · Page 2Linked to original sources

The effects of parental divorce and parental conflict on children: an overview.

Pediatricians and other primary care professionals are frequently called upon to offer their advice concerning the psychosocial problems that families confront. Currently, one area that appears to be of great concern to parents is the effect that parental divorce has on children. However, giving advice in this area is difficult as parental divorce does not have the same effect on all children. Researchers are now beginning to identify and study numerous factors that appear to play a critical role in mediating child adjustment following parental divorce. Understanding these mediating factors will likely prove crucial when addressing questions pertaining to parental divorce. Several investigators believe that one of the most important of these mediating factors is parental conflict. This article reviews the research addressing the relationship between parental divorce, parental conflict, and child adjustment.

Adaptation, Psychological

Home predictors of young adolescents' school behavior and academic performance.

The purpose of the present study was to examine the relation between home variables and young adolescents' school behavior/performance. 46 mother-father-adolescent triads (ages 11.5 years to 14.9 years) served as participants. Home factors included the adolescents' relation with each parent as well as a measure of each parent's personal adjustment and perception of conflict in the marriage. School measures consisted of grades and a teacher-completed assessment of internalizing and externalizing problems demonstrated by the adolescent. The results indicated that externalizing problems were related to the mother's depression level, the adolescent's relationship with the mother, and the adolescent's relationship with the father. The first 2 variables (maternal depression and mother-adolescent relation) entered into a multiple regression equation with sex of adolescent and accounted for 35% of the variance in externalizing problems. The relationship with the father was related to school grades and, in a multiple regression, combined with birth order of the adolescent to account for 15% of the variance. The results were discussed in terms of the importance of considering not only the mother-child relationship when examining cross-setting influences in the school but also the mother's personal adjustment and the father's relationship with the child.

Achievement

Maintenance of nutritional competence after gastric partitioning for morbid obesity.

Can normal nutritional status, as indicated by albumin, transferrin and lean body mass values, be maintained during a 100 lb weight loss after gastric partitioning? Fifteen morbidly obese patients with normal nutritional status were fed three diets before (diet A) and after (diets B and C) gastric partitioning, and changes in albumin, transferrin, and lean body mass were monitored. Diets A and C were compositionally equal and contained 40 to 60 g of protein and 600 to 900 calories administered in six to eight equally divided portions per day. Diet B contained 20 to 40 g of protein and 600 to 800 calories per day and was given through a gastrostomy tube for three months after surgery while oral input was limited to noncaloric liquids. Results showed that weight loss was more rapid before surgery with diet A, than after surgery with diet B or C (diet A versus diet B, p less than 0.05; diet A versus diet C, p less than 0.05). Lean body mass was maintained with each diet, but transferrin (p less than 0.01) and albumin (p less than 0.05) decreased while patients were fed diet B. When gastrostomy tube feedings were discontinued, diet C restored albumin and transferrin to preoperative values (diet C versus diet B, p less than 0.05, diet C versus diet A, p greater than 0.1). Total postoperative weight loss averaged 106 +/- 20 lb after 2 years. These data show that in carefully selected patients with morbid obesity who demonstrate compliance to diet A before surgery, a 100 lb weight loss may be achieved while nutritional competence is maintained.

Adult

Bibliotherapy as an adjunct to stimulant medication in the treatment of attention-deficit hyperactivity disorder.

The effectiveness of bibliotherapy as an adjunct to stimulant medication in the treatment of children with attention-deficit hyperactivity disorder was investigated. Subjects were randomly assigned to the experimental group, or the control group. Parents in the experimental group received a written protocol (bibliotherapy) outlining behavioral techniques for managing oppositional child behavior. Results indicated significant differences favoring the experimental group on standardized measures of the intensity of behavior problems in the home, parental knowledge of behavioral principles, and teacher ratings of behavior. This bibliotherapy approach appears to offer an inexpensive adjunct to stimulant medication in the treatment of attention-deficit hyperactivity disorder when individual or group behavior management training is not feasible.

Attention Deficit Disorder with Hyperactivity

Preexcitation syndrome in a donor heart.

Successful ex vivo correction of preexcitation syndrome (Wolff-Parkinson-White type A) was performed in a donor heart before orthotopic heart transplantation. The transplant recipient recovered without incident. Postoperative electrophysiologic study confirmed successful operative ablation of the aberrant conduction pathway. Donor hearts with certain readily correctable anomalies may be considered for transplantation and thus help to lessen the shortage of donor organs.

Adult