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Biomedical subjects

E Francis

Publications and source records attributed to E Francis.

11 recordsLinked to original sources
PubMed1998

Comparative outcomes and costs of inpatient care and supportive housing for substance-dependent veterans.

OBJECTIVE: This study examined the differential effectiveness and costs of three weeks of treatment for patients with moderately severe substance dependence assigned to inpatient treatment or to a supportive housing setting. Supportive housing is temporary housing that allows a patient to participate in an intensive hospital-based treatment program. Type and intensity of treatment were generally equivalent for the two groups. METHODS: Patients were consecutive voluntary admissions to the substance abuse treatment program of a large metropolitan Veterans Affairs medical center. Patients with serious medical conditions or highly unstable psychiatric disorders were excluded. Patients in supportive housing attended the inpatient program on weekdays from 7:30 a.m. to 5 p.m. They were assessed at baseline and at two-month follow-up. RESULTS: Baseline analyses of clinical, personality, and demographic characteristics revealed no substantive differences between the 62 patients assigned to inpatient treatment and the 36 assigned to supportive housing. The degree of treatment involvement and dropout rates did not differ between groups. Of the 55 inpatients completing treatment, 29 were known to be abstinent at follow-up, and of the 35 supportive housing patients completing treatment, 22 were abstinent. The proportion was similar for both groups, about 70 percent. The cost of a successful treatment for the inpatient group was $9,524. For the supportive housing group, it was $4,291. CONCLUSIONS: Given the absence of differential treatment effects between inpatient and supportive housing settings, the use of supportive housing alternatives appears to provide an opportunity for substantial cost savings for VA patients with substance dependence disorders.

Adult↗
PubMed1991

Snorting benzodiazepines.

Two cases of intranasal benzodiazepine use are presented. The methods of preparation and administration of the powder and accounts of the pharmacological effects of the drugs used are described. The pattern of development and progress of the habit and its associated features are delineated. Snorting benzodiazepines appears to be more common than is currently appreciated, and the clinical complications and implications of this habit are discussed.

Administration, Intranasal↗
PubMed1988

Anisotropies in global stereoscopic orientation discrimination.

Human orientation discrimination of long rectangular targets formed from dynamic random-element stereograms was assessed at four orientations (horizontal, vertical, left, and right oblique) as a function of width, disparity direction and magnitude using a temporal two-alternative, forced-choice paradigm. The results revealed the presence of an oblique effect in cyclopean orientation discrimination. In addition, observers discriminated targets with crossed disparity better than targets with uncrossed disparity, and had lower discrimination thresholds when the targets were oriented horizontally than vertically. These results demonstrate the existence of the oblique effect in the hypercyclopean domain comparable in magnitude to that present in the luminance domain.

Depth Perception↗
PubMed1987

The Ames window illusion: perception of illusory motion by human infants.

The sensitivity of human infants, 5 1/2-9 months of age, to the illusory oscillation of the Ames window was assessed in three experiments that employed some variant of the habituation-dishabituation and forced-choice preferential looking paradigms. In Experiment 1, three groups--5 1/2, 7 1/2, and 9 months of age--were given a visual choice between rotating rectangular and Ames windows after exposure to a rotating circular form. The two older groups preferred the Ames window. The results of Experiment 2 showed that this preference is not based on structural differences between the two windows. In Experiment 3, familiarization with an Ames window produced a preference for rotary motion while familiarization with a rectangular window produced a preference for oscillatory motion. These results suggest that sensitivity to the illusion emerges around 7 1/2 months of age, an outcome consistent with the emergence, at this time, of sensitivity to pictorial cues to depth.

Child Development↗