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Biomedical subjects

S L Ramey

Publications and source records attributed to S L Ramey.

6 recordsLinked to original sources

Effective early intervention.

Recent positive findings from three early educational intervention programs designed to prevent mental retardation as well as to improve school readiness and educational progress were summarized. Evidence was presented to show that without early intervention, children of low-IQ mothers are particularly at-risk for poor intellectual outcomes and that such children respond very favorably to intensive, systematic early intervention. In addition, new findings indicate a strong relation between the intensity of the early educational intervention and the amount of benefits realized by individual children. Further, there is new evidence that the benefits of continuous educational intervention over the first 5 years of life last at least until early adolescence. We identified six essential types of experiences that we think account for the positive outcomes and that need to be systematically included to the maximum feasible level in future early intervention programs.

Child

Cocaine and the use of alcohol and other drugs during pregnancy.

Recent reports of adverse pregnancy outcomes associated with prenatal cocaine exposure have raised questions about the actual numbers of infants who are exposed to cocaine in utero. Whereas toxicologic urine screens obtained at delivery can detect cocaine use in the preceding few days, they fail to yield a comprehensive picture of use during and immediately before pregnancy. According to postpartum self-report, 15% of a teaching hospital sample and 3% of a private hospital sample of mothers had used cocaine during pregnancy or in the previous month (total = 876). Rates at the teaching hospital reflect a fifteenfold increase over the past 12-year period, when compared with previously obtained data. Cocaine users were significantly more likely to report that they drank alcohol, smoked cigarettes, and took other illicit drugs during pregnancy than women who denied using cocaine. Mothers at highest risk for cocaine use were those who were black (20%), were single-separated-divorced (24% to 33%), and had less than a high school education (21%).

Adolescent