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Biomedical subjects

R Erhard

Publications and source records attributed to R Erhard.

5 recordsLinked to original sources

Peer-led and adult-led programs--student perceptions.

This research examines whether peer-led prevention programs are preferable to adult-led programs. Participants were 2,447 students in 94 classes, from 31 schools running drug prevention programs. The schools were divided into two groups according to the model they used in their program: fifteen schools used peer-led model, while sixteen used the adult-led model. A 46-item questionnaire was constructed in order to examine the students' perception of the programs. The results show that all the input measures (content, atmosphere, openness, discipline, facilitators' competence) and the outcome measures (satisfaction, knowledge, avoidance, curiosity, personal relationship) were perceived as more positive in the peer-led model. The differences were small, but significant. While the findings suggest that the peer-led model has a somewhat greater potential for primary prevention, the differences found do not enable us to state with certainty that this model is preferable for primary prevention purposes.

Adolescent↗

Systemic malignancy presenting as neck and shoulder pain.

Systemic malignancy can be manifested by musculoskeletal complaints. We review the history, physical examination, and diagnostic imaging studies of a patient whose chief complaints were neck and shoulder pain. This patient also had significant weight loss and a history of tobacco abuse. Aggressive physical therapy and appropriate medications failed to provide symptomatic relief of neck and shoulder pain. Further studies revealed lung cancer. Systemic malignancy can cause referred musculoskeletal pain without obvious metastatic involvement at the symptomatic area, and should be considered in patients with persistent symptoms.

Cervical Vertebrae↗

Examination of the shoulder complex.

This article presents a protocol for the examination of the shoulder complex. The examination is divided into subjective and objective components. A primary focus of this article is on the functional portion of the objective examination and its interpretation. The functional examination consists of active and passive range-of-motion tests, accessory mobility tests, resisted tests, and palpation. This approach enables the examiner to classify movement disorders of the shoulder complex into dysfunctions of the noncontractile tissues and of the contractile tissues. Factors that enable the examiner to determine the severity of a pathological condition or to identify stages of the healing process are discussed. This information will assist the physical therapist in establishing treatment goals and in selecting appropriate strategies of therapeutic intervention.

Humans↗