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Biomedical subjects

I A Marshall

Publications and source records attributed to I A Marshall.

3 recordsLinked to original sources

Effectiveness of a comprehensive breast cancer-screening class for women residing in rural areas.

The purpose of this study was to investigate the effectiveness of two different educational methods on the variables of knowledge gains of breast self-examination as a cancer-screening device and the subsequent frequency of breast self-examination for women living in rural areas. Two educational methods were used: (A) a comprehensive class and (B) an information session using a brochure. The experimental group attended a comprehensive class on breast cancer screening that included a presentation where one of the investigators used American Cancer Society materials and modeled breast self-examination. The comparison group attended an information session in which a brochure by the American Cancer Society was given to the women as the educational modality. The sample was one of convenience and was comprised of 103 women living in rural areas. The experimental group included 50 women and the comparison group was made up of 53 women. The findings indicated that each group made significant gains in knowledge from the pretest to the posttest with the teaching method used. Each group retained approximately the same amount of knowledge at the 3-month follow-up test, and each group had an increased frequency of performing breast self-examination.

Adult

Psychological disturbance in children with physical disabilities: continuity and change in a 5-year follow-up.

This study measures continuity in behavioral disturbance over a 5-year period among 255 children with physical disabilities who were 6 to 18 years old at first assessment. The pattern of the results differed from that reported previously for a sample of the general population of children. Disabled children showed little stability in aggression, an area in which stability over time had been consistently reported for the general child population. Furthermore, important differences were observed between children with cystic fibrosis and children with cerebral palsy, myelodysplasia, or multiple physical handicaps, all conditions involving brain abnormality. Children with cystic fibrosis followed the trend toward better adjustment seen among the general population of children. In contrast, among children with conditions involving the brain, the majority of those who had been classified as psychologically severely impaired remained at this level of impairment 5 years later. In two behavioral domains, Mentation Problems and Isolation, children with conditions involving the brain maintained, on the average, the same markedly high score they had initially. Among children with physical conditions involving the brain, Mentation Problems and Isolation signify persistent problems that do not subside as the children mature.

Adolescent