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Biomedical subjects

P Manz

Publications and source records attributed to P Manz.

4 recordsLinked to original sources

Community-based resilient peer treatment of withdrawn maltreated preschool children.

The purpose of the present study was to evaluate differences in the social play of maltreated and nonmaltreated preschool children and the effectiveness of a resilient peer treatment (RPT) for socially withdrawn victims of physical abuse and neglect. RPT is a peer-mediated classroom intervention based on a developmental-ecological model. It involves pairing withdrawn children with resilient peers in the natural classroom under the supervision of a parent assistant. Forty-six Head Start children, of whom 22 were maltreated, were randomly assigned to RPT and control conditions. Outcome variables were observational categories of social play and standardized teacher ratings. Before treatment, maltreated children were significantly more isolated and less interactive in peer play than nonmaltreated children. RPT resulted in a significant increase in positive interactive peer play and a decrease in solitary play for maltreated and nonmaltreated, socially withdrawn children. Moreover, treatment gains in social interactions were validated 2 months following treatment. Findings are discussed in terms of a developmental-ecological model.

Child Abuse↗

Operative treatment of femoral head necrosis.

The cases of 80 patients with necrosis of the femoral head who underwent operative treatment in the period April 1980 to April 1988 are reported. Altogether, 102 operative procedures were carried out: 48 intertrochanteric osteotomies, 50 arthroplasties, 3 subchrondral bone graftings, and in one case drilling of the necrotic focus. Joint-preserving methods in advanced-stage disease seem to be of doubtful use when judged by clinical and socio-economic criteria over a mean follow-up time of 4.5 years. Since no conservative treatment exists, an improvement in therapeutic results can only be achieved by early diagnosis using magnetic resonance imaging and operating when the disease is still at an early stage.

Adult↗

Operative therapy for recurrent shoulder dislocation with special regard to long-term clinical and radiological results using M. Lange technique.

Besides a general description of the operative techniques for the management of recurrent shoulder dislocation, a full description of the M. Lange procedure is given. We offer reasons for its variation from original methods and suggest limiting its indications with regard to clinical and radiological long-term results. After an average postoperative period of 13.5 years, clinical and radiological results of 21 shoulders in 20 patients were determined. In 19 of the 21 cases patients reported outstanding-to-satisfying postoperative results. Real postoperative redislocation was found in only one case, but striking radiological signs of osteoarthritis were seen in 57%. Despite the lack of comparable results, this should be taken into consideration in choosing an adequate operative procedure.

Adolescent↗