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Head-injured patients and control group: implicit versus explicit measures of frequency of occurrence.

This study was conducted in order to investigate the possibility that effortful processes are involved in the retrieval stage of the putative automatic task-frequency judgment. Head-injured (HI) and control groups were tested on a frequency of occurrence task under explicit-intentional retrieval (i.e., frequency estimation) and implicit-unintentional retrieval (i.e., word-stem priming) conditions. Subjects were presented with a list of nouns that appeared once, three times, and six times. Following presentation, subjects were first given a priming task, then a recall task, and finally a frequency judgment task. Although the control group performed better than the HI group on recall and frequency judgment tasks, the groups did not differ on the priming task. The results are discussed in terms of the relationship between effortful and automatic memory processes.

Adolescent

[Social support, disability, coping with stress and personality markers in patients with subjective chronic aural tinnitus and a clinical control group].

The inhibition of physiological habituation in patients with chronic aural tinnitus extends from the level of cellular processing to psychologic and psychosocial determinants. The following hypotheses were tested in 32 patients with chronic tinnitus and 30 patients of a comparable clinical control group: tinnitus patients differ concerning (1) the perception of social support, (2) a disposition to psychosomatic diseases, (3) coping with stress and (4) certain personality traits. Standard psychological tests were used as well as a detailed examination of at least 30 minutes. Results showed that the tinnitus patients statistically perceived less social support and more social distress compared to the control group. They also showed significantly poorer results in coping with stress. Increased social distress in a number of cases resulted in noticeable decompensation. Additionally, a disposition to psychosomatic disorders increased, so that conflicts arising expressed themselves in various functional diseases. In most cases psychiatric exploration showed a vocational or familial overcharge. In patients experiencing decompensation, close cooperation with a psychotherapist is required.

Adaptation, Psychological

Mexican American, nurse practitioner, and lay control group beliefs about cause and treatment of chest pain.

This study compared the health beliefs of Mexican Americans concerning the specific symptom of chest pain to beliefs of a group of predominant culture nurse practitioners and a lay predominant culture control group. Two hypotheses were examined; The health beliefs of groups differ significantly with culture and the health beliefs of groups differ significantly with professional education. A 43-item structured questionnaire was developed, based on literature review and unstructured interviews with Mexican American respondents. the questionnaire was administered to three nonprobability samples of 30 subjects each: Mexican Americans, nurse practitioners, and lay controls. Significant differences were found between Mexican Americans and the predominant culture groups of nurse practitioners and lay controls on folk beliefs regarding chest pain. On some items significant differences between nurse practitioners and the lay groups of Mexican Americans and predominant culture controls were based on professional education.

Adolescent

Comparison of survival of amiodarone-treated patients with coronary artery disease and malignant ventricular arrhythmias with that of a control group with coronary artery disease.

Although amiodarone is effective in the treatment of ventricular arrhythmias, it is associated with serious toxic effects. In addition, the prognosis of patients with malignant ventricular arrhythmias and coronary artery disease treated with amiodarone remains poor. The survival of 54 consecutive patients with angiographically documented coronary artery disease and symptomatic ventricular tachycardia or ventricular fibrillation treated with amiodarone was compared with that of 5,125 medically treated patients with coronary artery disease. The amiodarone group was older, with worse left ventricular function and more peripheral and cerebrovascular disease. The 1 year survival probability was 0.73 for the amiodarone group and 0.94 for the control coronary artery disease group. At 2 years of follow-up, the survival probabilities were 0.60 and 0.90 for the amiodarone and the control group, respectively. When the survival curves were adjusted for group differences in baseline prognostic characteristics (integrated as a previously published hazard score), there was no difference in the prognosis of the two groups. These findings suggest that treatment with amiodarone of malignant ventricular arrhythmias associated with coronary artery disease maintains patients on an underlying survival curve determined by the degree of myocardial dysfunction, clinical characteristics and coronary anatomy, and that amiodarone does not have a deleterious effect on survival.

Aged

Tuberculosis among patients with AIDS and a control group in an inner-city community.

BACKGROUND: Tuberculosis, the largest single cause of death of any infectious disease worldwide, has undergone a startling resurgence in the United States, partially related to the acquired immunodeficiency syndrome (AIDS) epidemic. METHODS: To compare the clinical, roentgenographic, and bacteriologic characteristics of patients with AIDS and the general population, we retrospectively analyzed the clinical records of all patients with tuberculosis in an inner-city population over a 4-year period. Forty-six patients with AIDS (including 38 injecting drug users [83%]) were identified and matched with a control group of 46 patients with tuberculosis who did not have AIDS. RESULTS: Forty-one patients with AIDS (89%) had pulmonary tuberculosis; 10 (22%) had disseminated disease and 13 (28%) had concurrent extrapulmonary disease. Among the patients without AIDS, two (4%) had disseminated disease and four (9%) had extrapulmonary disease. Patients with AIDS were far more likely to be black. Thirty-seven patients with AIDS (80%) had negative purified protein derivative skin test results compared with eight controls (17%). Seventeen (41%) of 41 patients with AIDS presented with classic post-primary upper-lobe disease compared with 32 (73%) of 44 patients in the control group. Primary tuberculosis features occurred predominantly in the AIDS group. Four (10%) of 41 patients with AIDS presented with clear chest films despite positive smears and cultures. Nine patients with AIDS (20%) were drug-resistant compared with three controls (7%). Seven patients with AIDS with drug resistance were born in the United States (78%), while all controls with drug resistance were foreign-born. CONCLUSIONS: We found vast differences in the clinical, roentgenographic, and drug susceptibility characteristics of patients with tuberculosis who did and did not have AIDS.

AIDS-Related Opportunistic Infections

Differences between human figure drawings of child molesters and control groups.

The present research attempted to identify differences between human figure drawings of adult and juvenile child molesters and adult and juvenile control groups, based on ratings obtained for various psychodiagnostic signs (N = 75). Eleven reliable signs were identified. Results of significance tests on each of the 11 signs revealed that adult molesters drew the female larger than the male. Also, molesters as a group produced drawings of poorer gender differentiation than did the controls as a group and drew the male figures with blank or missing eyes. The overall quality of the molesters' drawings was rated as significantly poorer than that of the control's drawings. Results of a factor analysis for the 11 signs revealed, for the molesters, a first factor of overall quality with a component of gender identity confusion, a second factor of figure-size only, a third factor of fingers only, and a fourth factor of hidden eyes/hidden hands.

Adolescent

A psychometric evaluation of a residential treatment facility: an illustration of an interpretable research design without a control group.

This paper reports on the interim results of an evaluation study which followed a group of disordered-delinquent adolescents discharged from a long-term residential treatment program. Findings from the first cohort of adolescents tested at admission and discharge with the Tennessee Self-Concept Scale (TSCS) indicate statistically significant improvement in all the areas of self-concept, significant decreases in all areas of psychopathology, and no systematic response set at either testing. The research design is unique in that, without a control group, competing interpretations of treatment effectiveness have been ruled out. Using design features, clinical observation, and common sense, four competing explanations of the favorable results have been eliminated. Both the instrument and research design are of interest to those undertaking evaluation research in underfunded settings where control groups are difficult to obtain due to financial or logistical problems.

Adolescent

Total knee arthroplasty in diabetic patients. Comparison to a matched control group.

Between January 1980 and July 1989, 63 total knee arthroplasties were performed on 48 patients who had a clinical history of diabetes mellitus. Six patients died prior to completing the 2-year follow-up period and two patients (3 knees) were lost, leaving 53 knees in 40 patients available for review. The patients were considered as a total group, and were also divided into two subgroups: (1) insulin-dependent diabetes mellitus (IDDM) (9 knees) and (2) noninsulin-dependent diabetes mellitus (NIDDM) (44 knees). There were 10 men and 30 women in the series with an average age of 67. Patients were followed from 24 to 126 months (average, 54 months). The Porous Coated Anatomic total knee system (Howmedica, Rutherford, NJ) was used without cement in 30 knees and with cement in 23 knees. Diabetic patients were matched to a nondiabetic control group using a computer-generated selection process to match the following parameters: (1) age at surgery, (2) sex, (3) arthritic diagnosis, (4) length of follow-up period, (5) mode of fixation, and (6) preoperative deformity. Statistical analysis was performed using regression analysis and chi-square tests. In the diabetic group, there was an average clinical score of 85, with 43 knees (82%) rated excellent or good. Ten knees (18%) were rated fair, poor, or required revision (4 revisions, 7%). This was statistically different from the control group, which had an average clinical score of 92, with 51 knees (96%) rated excellent or good, 1 fair rating, and 1 revision (P < .001).(ABSTRACT TRUNCATED AT 250 WORDS)

Aged

[Comparative computerized tomography cephalometric and pharyngometric studies of patients with severe and mild sleep apnea, and in a control group].

116 males were examined. Of these, 52 belonged to a control group, whereas 40 had severe obstructive sleep apnoea (apnoea index > 20 + clinical symptoms) and 24 mild obstructive sleep apnoea (apnoea index 5-20 + clinical symptoms) (in the following, OSA signifies obstructive sleep apnoea). Cephalometry and planimetric examinations of the pharynx were performed in recumbent position with the head in neutral position and with shallow respiration. The narrowest passage of the pharynx was measured; other measured sites were the areas of the nasopharynx, oropharynx (at the level of the tip of the palatine uvula) and of the hypopharynx (at the level of the base of the tongue). The sum of all the measured cross-sections was obtained. The cephalogram was evaluated to obtain the length and thickness of the soft palate, the distance between the mandible and hyoid bone, the posterior airspace (PAS), the nuchal subcutaneous fatty tissue at the level of the spine of the second cervical vertebra (also known as axis), the thickness of the posterior pharyngeal wall at the level of the second cervical vertebra, or axis, and the angles between the sella, nasion and superior maxilla and between the sella, nasion and mandible (SNA and SNB, respectively).(ABSTRACT TRUNCATED AT 250 WORDS)

Adult

EEG-responsiveness to eye opening and closing in mildly retarded children compared to a control group.

Changes in the ongoing EEG when repeatedly closing and opening the eyes are quantified and compared for a group of mildly retarded children and a matched control group. The most prominent changes occur for the alpha-rhythm at posterior derivations. Blocking of the alpha is faster than its restriction, but there is no group difference in this respect. Many of the amplitude changes are also quite similar for the two groups. The differences found are associated with a lowered arousal by the experimental group.

Adolescent

Correlates of blood pressure change in middle-aged male mild hypertensives: results from the untreated control group in the Oslo hypertension trial. The Oslo Study.

The never-treated control group in the Oslo Study hypertension trial of middle-aged men 40-49 years old at entry (n = 379) was studied with respect to five-year change in blood pressure and its correlates. The study began in 1972 and ended in 1979, and each patient was followed for five years. Both baseline and rate of change of correlates were analyzed as independent variables versus rate of change in blood pressure as the dependent variable. Rate of change in serum triglycerides were found to be the strongest correlate of rate of change in blood pressure in this population of healthy mild hypertensives. In addition, rate of change in serum cholesterol and body weight made significant contributions in some analyses, but to a lower degree than did rate of change in triglycerides. The model predicts a substantial decrease in blood pressure if lipids and body weight are reduced. Rate of change in sodium, uric acid, and chloride concentrations were also associated with blood pressure change, but total degree of explanation of all explaining variables only accounted for 11-15% of total variation in annual blood pressure change.

Adult

Tridimensional personality questionnaire: assessment in patients with social phobia and a control group.

We administered the Tridimensional Personality Questionnaire to 40 control subjects and to 47 social phobia patients who met Structured Clinical Interview for DSM-III-R (SCID) criteria for social phobia and participated in a multicenter treatment study. Multiple comparisons with Bonferroni correction showed a significant increase in total Harm Avoidance scale scores and all four subscale scores for the social phobia group. On a Reward Dependence subscale that measures persistence versus irresoluteness the mean was significantly lower in the social phobia group than the control group. Present findings extend an earlier report of increased Harm Avoidance in major depressive disorder and other clinical diagnostic groups.

Adult

[The difficulty of choosing a good control group in a retrospective study (author's transl)].

The choice of either hospital or population controls in retrospective studies is guided by rules implying underlying hypotheses. In a study on aesophageal cancer in relation to alcohol and tobacco consumption, two such control groups were available and were compared. It was found that some of the currently accepted assumptions relating to representativeness of cases or controls were verified but many others were not, particularly in hospital controls. These were found to give less correct estimates of drinking and smoking habits than those obtained from population controls. The limitations in the use of either type of controls is discussed, in relation to the purpose of the study concerned.

Adult

Synonymy of strains of Center for Disease Control group DF-1 with species of Capnocytophaga.

Of eight strains of Center for Disease Control group DF-1 examined, seven had 62 to 87% deoxyribonucleic acid homology with the neotype strain of Capnocytophaga ochracea and one had 72% deoxyribonucleic acid homology with the type strain of C. gingivalis. Deoxyribonucleic acid homology of four strains of Bacteroides ochraceus with the neotype strain of C. ochrecea was 76 to 86%.

Bacteroides

[Childhood stress and neurosis--results of a control group study].

Biographical stress-risk was compared between a group of 68 neurotic-psychosomatic patients and a parallel control group matched in terms of age and sex. This risk rate was established using a so-called risk-index in which 8 known and variably weighted risk factors were taken into consideration. The following hypotheses were confirmed in the study: Neurotically ill persons show a higher stress-risk (risk-index) in their childhood and pre-adolescence than is found in healthy persons. A person's stress-index is related to the degree of neurosis (r = .42).

Adult