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Biomedical subjects

H C Faigel

Publications and source records attributed to H C Faigel.

14 recordsLinked to original sources

Emotional disorders in learning disabled adolescents.

We retrospectively reviewed patients discharged from the psychiatric inpatient adolescent service and correlated neuropsychological subtypes with the patient's psychiatric diagnoses. Depressed learning disabled patients had visual memory and processing deficits. Conduct or behaviorally disordered patients had expressive language deficits. Learning disability subtypes may affect psychotherapy and therefore should be known when planning psychotherapy.

Achievement

Screening college students for hypercholesterolemia.

Selective screening for children and mass screening for adults are the two strategies for detecting hypercholesterolemia and identifying individuals at risk for early heart attacks that have been recommended by the American Academy of Pediatrics and the American Medical Association. The interval marking the end of childhood and the beginning of adulthood is a time of transition without an unwavering demarcation line. It is a time when many adult disorders that demand attention and detection begin. Because of the close relationship of elevated cholesterol levels in youth to subsequent cardiovascular disease, a small liberal arts university began mandatory mass cholesterol screening for all full- or part-time students who matriculated in September 1977. More than thirty 18- and 19-year-old first-year students with unknown hypercholesterolemia were detected each year. The mean cost per case identified is estimated to have been $212. The author concluded that mass screening of students entering college can identify, at a reasonable cost, students who have high levels of cholesterol.

Adolescent

Services for students with learning disabilities in U.S. and Canadian medical schools.

Between September 1, 1990, and March 31, 1991, 103 of the 142 medical schools in the United States and Canada responded to a questionnaire regarding their services and programs for learning-disabled medical students. Ninety-three schools accepted such students (and ten did not), but only two-thirds had support programs and half lacked the capacity to diagnose learning disability disorders. Twenty-five did not know they could administer licensing examinations in a nonstandard manner, and 19 had no senior administrator or faculty member coordinating learning disability services. The author concludes that these results suggest that medical schools are poorly informed about and unprepared to help learning-disabled students.

Canada

The effect of beta blockade on stress-induced cognitive dysfunction in adolescents.

Test anxiety is severely disabling to students whose fear of examinations causes cognitive dysfunction that paralyzes their thinking the way stage fright impairs actors ability to act. In studies using subjective evaluations among actors and musicians, beta-blockade relieved stage fright and has been used informally to treat test anxiety in students without objective measures of effectiveness. The Scholastic Aptitude Test (SAT) was chosen as an objective test instrument to confirm the effect of beta-blockade on test anxiety and performance. Thirty-two high school students who had already taken the SAT before enrolling in this study and who had stress-induced cognitive dysfunction on exams were given 40 mg of propranolol one hour before they retook those tests. Mean SAT scores with beta-blockade were 130 points higher than on the initial SAT done before entering the study without medication (p = less than .01). A single dose of propranolol immediately before the SAT permitted improved performance in students prone to cognitive dysfunction due to test anxiety.

Adolescent

Hyperlipidaemia.

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Child

Bacteremia in pediatric patients following dental manipulations.

A recent study has claimed that children who do not have gingivitis do not have bacteremia following dental manipulations and that these children do not require antibiotic prophylaxis. Postoperative blood cultures from 53 children and adolescents with and without gingivitis drawn within ten minutes of elevation of the gums, extraction of teeth, and extensive gingivectomies were sterile in all cases. The collection and laboratory methods and media were carefully evaluated and found satisfactory. However, the time interval between the dental procedure and the collection of the blood is believed to have been too short for reliable results and that the abandonment of the antibiotic prophylaxis in children is unwarranted.

Adolescent