Search PubMed⌕ Search

Biomedical subjects

D W Evans

Publications and source records attributed to D W Evans.

At least 19 recordsLinked to original sources
PubMed1992

Maternal emotional reactions to young children with different types of handicaps.

Emotional reactions were examined cross-sectionally over the 1- to 6-year period in mothers of children with Down syndrome (N = 25) and with predominantly motor impairments (N = 20). Mothers rated their degree of concern about 16 early milestones and four events, and were also interviewed with the Vineland Adaptive Behavior Scales. Although milestones occurring during the first year caused higher levels of maternal concern than did later-occurring ones, concern was also evident for some later milestones. Mothers of Down syndrome and of motor-impaired children were equally concerned about motor milestones, but mothers in the Down syndrome group were more concerned about developments in communication. The two groups modulated their maternal concern based on different aspects of the child's communication skills. The timing, specificity, and sensitivity of maternal reactions identified in this study are discussed in relation to the unindirectional, time-bound model of "maternal mourning."

Adaptation, Psychological↗
PubMed1990

Organ donation.

Explore the source record for details and available documents.

Brain Death↗
PubMed1989

Communicative interaction between teachers and children with severe handicaps.

The content and structure of teacher input language to children with severe handicaps during early stages of language development were examined. Teacher-child dyads (N = 21) were videotaped during interactions in a semi-structured play setting. Each child was ranked as to level of communicative abilities on a scale of early communicative behaviors. Results showed that teachers adjusted the complexity of their linguistic requests based on the child's level of communication and modulated their requests based on children's responses from one moment to the next. The structure of the teacher's utterances was not as closely attuned to the communicative levels of the children. Issues and problems relating to adults' linguistic interaction with children with handicaps were discussed.

Child↗
PubMed1988

Diagnostic and therapeutic problems in two patients with antiphospholipid antibodies, heart valve lesions, and transient ischaemic attacks.

Two young women (aged 32 and 25 years) with systemic lupus erythematosus and heart valve lesions in association with antiphospholipid antibodies are presented. In addition to the presence of the 'lupus anticoagulant' and false positive Venereal Disease Research Laboratory (VDRL) tests, both patients had high levels of IgG anticardiolipin antibodies. The first patient additionally had contraceptive induced chorea, chorea gravidarum, seven miscarriages, livedo reticularis, pulmonary embolism, and thrombocytopenia and developed culture negative endocarditis as well as hypertension. The second patient, who had presented with hypertension, developed aortic and mitral regurgitation, suspected myocarditis, manifested transient ischaemic attacks, and responded well to anticoagulation and steroid treatment.

Adult↗
PubMed1987

Brain death.

Explore the source record for details and available documents.

Brain Death↗
PubMed1987

A longitudinal evaluation of graduate programs in allied health education and administration.

A longitudinal follow-up study was conducted of 196 graduates of allied health education and administration programs in Texas. The study assessed the graduates' continued presence as educators and their career patterns, experiences related to teaching, research, service, administrative leadership, job satisfaction, and perceived continuing education needs. The conclusions drawn from the results of the study were that the graduates are instructional and administrative resources for colleges, universities, and hospitals located in Texas and 23 other states; have exemplary records related to teaching, research, service, and other faculty activities; and are generally satisfied with their current employment. Application of computer technology was the most frequently cited continuing education need of the graduates.

Administrative Personnel↗
PubMed1986

Fatal heart block due to mesothelioma of the atrioventricular node.

A fit young man of 23 was symptom free until the time of his death despite a narrow complex complete heart block, with resting heart rates down to 35 beats/min, that was first diagnosed when he was 10. The clinical diagnosis remained congenital heart block. Necropsy showed extensive infiltration of the atrioventricular node and proximal bundle by mesothelioma tissue. Pacing had not been advised because of his excellent exercise tolerance.

Adolescent↗
PubMed1979

Child abuse prevention--implementation within the curriculum.

The number of reported cases of child abuse and neglect is increasing. Most educators are aware of the problem; however, awareness alone has minimal impact on prevention. Specific planning is needed, and this article explores various avenues for including child abuse education as a part of the regular school curriculum. The ultimate goal is to develop educational strategies as one means of preventing abuse when school children grow to adulthood and become parents.

Adult↗
PubMed1979

Age, sex, and ischaemic heart disease as prognostic indicators in long-term cardiac pacing.

The influence of age, sex, and overt ischaemic heart disease on survival after pacing was studied in a population of 427 patients. The median survival for the whole group was 7.75 years. Women between 55 and 74 years and men between 65 and 74 years enjoyed median survivals in excess of 10 years. Patients over 74 years and men with ischaemic heart disease had median survivals of the order of 5 years and 3 1/2 years, respectively. The findings may help to match generator lifetimes to patient-survival prospects.

Adolescent↗
PubMed1979

Coexistence of asymmetric septal hypertrophy and aortic valve disease in adults.

Echocardiography detected asymmetric septal hypertrophy (ASH) in five of 200 adults being assessed for aortic valve surgery. Four of these were among 119 patients with dominant aortic stenosis, which was severe in three. ASH was confirmed at the time of aortic valve replacement in two of these patients; the third declined operation. The finding of ASH in only one of 81 patients with free aortic reflux is consistent with chance association. While the same explanation could apply to the higher prevalence in those with aortic stenosis, it may be that a long-standing pressure overload can trigger inappropriate septal hypertrophy in predisposed individuals.

Adolescent↗
PubMed1979

Persistent lone atrial fibrillation--its prognosis after clinical diagnosis.

Eighty-three patients whose atrial fibrillation appeared to be permanent and the sole cardiac abnormality at the time of diagnosis were followed for one to 19 years (mean 7.5 years). None suffered systemic embolism. Three died, none of cardiac disease. Sinus rhythm returned in seven. Another six developed features suggestive of other heart disease. In the remaining 67, the initial diagnosis of persistent lone atrial fibrillation remained tenable and they remained well.The medium-term prognosis for patients with this disorder seems good.

Aged↗