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Biomedical subjects

K P Russell

Publications and source records attributed to K P Russell.

At least 19 recordsLinked to original sources

A Brunswikian evolutionary-developmental theory of adolescent sex offending.

A Brunswikian Evolutionary-Developmental model was developed to relate the sex offending behavior of adolescents to other forms of social deviance, tracing a history of repeated frustration and failure in various competitive sexual strategies and escalation to more extreme means of obtaining sexual gratification. Four hypothetical constructs were proposed as stages in the development of sexual criminality: (1) Psycho-Social Deficiency (PSD); (2) Non-Criminal Sexuality (NCS); (3) Non-Sexual Criminality (NSC); and (4) Sexual Criminality (SC). Significant direct and indirect pathways led from PSD to SC through both NCS and NSC, each time facilitated by an interaction with PSD. Although the causal orders between stages remain equivocal, the current results are consistent with our theory and establish the heuristic value of our theoretical approach, providing empirical support for otherwise counterintuitive predictions. This interpretation also offers hope for focusing preventative intervention at one major root cause of this unfortunate cascade of consequences, Psycho-Social Deficiency.

Adolescent↗

Office gynecology: fibroids-when not to operate.

The mere presence of uterine fibroids is not, since qua non, an indication for their surgical removal. Knowing when not to operate is probably more important for the physician than knowing when to operate. It is easy to fall into diagnostic and therapeutic traps when uterine fibroids are known to be present, especially when they occur concomitantly with a condition such as irregular uterine bleeding, infertility, or pregnancy. The contributions of such conditions to problems in diagnosing and managing fibroids must be kept in mind by the prudent physician; a decision in favor of medical rather than surgical management is often best.

Dilatation and Curettage↗

A conceptual model for regionalization and consolidation of obstetric-gynecologic services.

The regionalization and consolidation of obstetric-gynecologic services, especially maternity services, is a significant current trend in our specialty. The concepts of consolidation and regional organization are interdependent and interrelated, and the movement has received impetus from economic considerations as well as the needs for organizational efficiency. Regionalization and consolidation of services are also consistent with the stated goals of The American College of Obstetricans and Gynecologists which call for the assurance that adequate obstetric-gynecologic care is available to all women, through (1) solutions to the problems of maldistribution of personnel and facilities, and (2) reductions in health-care costs by the more efficient utilization of personnel and facilities. Activities in this field have been enhanced by the interests of such health-related entities as the National Foundation-March of Dimes and the Robert Wood Johnson Foundation in these studies. It is mandatory that progress in this activity be dictated by practical as well as theoretical considerations. A conceptual model for the organization of these developments will be presented with considerations of patient care and services, medical education (both continuing and residency), and research (including basic and clinical) as they apply to the model.

Delivery of Health Care↗