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Biomedical subjects

R Hepner

Publications and source records attributed to R Hepner.

10 recordsLinked to original sources

Childhood lead poisoning and inadequate child care.

Sixteen caretakers of children hospitalized for their first episode of lead poisoning and 16 caretakers of children with normal lead levels were interviewed in their homes to determine if caretakers of children with lead poisoning provided more inadequate child care than the comparison group of caretakers. Children were matched according to age, race, and sex. Correlations were found between children's lead levels and caretakers' scores on the measures of inadequate child care. Differences were evident in the overall physical and cognitive emotional care provided to these children. No differences were found in the caretakers' ages, number of years of education and family monthly income, number of occupants in the household, and family mobility. Implications of the intertwined roles of inadequate child care, subclinical lead poisoning, and later developmental sequelae are discussed.

Child Care↗

Evaluation of a screening program for heart disease.

An evaluation of the effectiveness of a screening program using the Phono Cardio Scan to detect heart disease in 18,872 Baltimore (Meryland) elementary school children indicated that few cases were discovered and only one child medical treatment instituted as a result of the program. Most of the children referred to a cardiologist had known disease. There was considerable variability in performance both of the machine and of the three center which were involved in the program. The sensitivity of the machine may have been low as reported in some other studies.

Child↗

Correlation of blood pressure with skinfold thickness and protein levels.

To plan prospective studies of obesity and hypertension, we measured skinfold thickness, weight, blood pressure, and protein fractions in 920 children who were divided according to age, sex, and race. Correlations between measurements were calculated within each of these groups. Children aged 10, 11, and 12 years had direct correlations between diastolic blood pressure and serum albumin level, but inverse correlations between diastolic blood pressure and alpha-globulin level as well as inverse correlations with alpha-globulin level. These correlations did not occur in similar children aged 8, 9, and 10. Although diastolic blood pressure correlated with skinfold thickness in all groups, there was no correlation between skinfold thickness and serum protein levels.

Adolescent↗