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PubMedDate not supplied

Use of drugs among street children in Brazil.

The purpose of this study has been to assess drug consumption among children in five Brazilian state capitals during 1993. The sample was composed of street children who were given assistance in institutions, and data was collected by means of anonymous individual interviews. Five hundred sixty five boys and girls were interviewed: 74.3% reported having used drugs (not including alcohol and tobacco) at least once in their life. Solvents, followed by marijuana, were the most cited drugs. Important regional differences were observed concerning other drugs. Consumption of cocaine, including crack, seems restricted to the southeast region, whereas psychotropic medication was consumed more in the northeast of the country. Drug initiation among these children seems to be a consequence of street life and is part of their group lifestyle.

Adolescent↗
PubMed1992

Medical withdrawals from college for mental health reasons and their relation to academic performance.

A collaborative study among the university health service, the dean's office, and the registrar's office examined the academic performance of 77 students who took medical withdrawals for mental health reasons from Dartmouth College during a 3-year period. In 71.4% of the cases, students withdrew from a term in progress; the remainder arranged to withdraw after they had completed a term but before starting a new term. Depression was a major factor in approximately half of the withdrawals. Grade point average improved significantly after return from the withdrawal, with a large jump in individual term averages occurring between the terms immediately preceding and immediately following return. We found no significant difference between the number of students who experienced disciplinary trouble before withdrawal and those who were disciplined afterward. Students who were depressed at the time of withdrawal did not fare as well academically upon return as those students who had not been depressed. The data suggest that procedures for handling mental health withdrawals and readmission are important ways in which the campus counseling center can support the university's academic mission.

Educational Status↗
PubMed2005

Suicide attempts and life events 5-9 years after referral for emergency psychiatric outpatient treatment.

The aim of this naturalistic and retrospective follow-up study was to identify putative predictors of suicide attempts among young adults at high risk with a particular view on adverse life events. One hundred young adults who had been given emergency treatment for mental health problems in child and adolescent outpatient clinics in Norway were assessed 5-9 years after referral. Suicide and suicide attempts in the follow-up period were registered as well as suicide attempts at referral and previous suicide attempts unrelated to the treatment referral. In addition, adverse life events during childhood and adolescence and social background factors were registered. Only one subject committed suicide during the follow-up period. However, suicide attempts were frequent (29/100) and equally distributed among those referred for suicidal or other reasons. Those who had attempted suicide experienced more adverse life events during adolescence, were more likely to be male, to have incomplete schooling and a record of psychiatric hospitalizations. Clinicians need to address the risk of future suicide attempts also among young emergency patients not referred for suicidal reasons.

Adolescent↗
PubMedDate not supplied

Methylphenidate and dextroamphetamine abuse in substance-abusing adolescents.

The prevalence of methylphenidate and dextroamphetamine misuse and abuse was examined in 450 adolescents referred for substance abuse treatment. Twenty three percent reported nonmedical use of these substances and six percent were diagnosed as methylphenidate or dextroamphetamine abusers. Abuse was more common in individuals who were out of school and had an eating disorder. Methylphenidate and dextroamphetamine abuse appears to be much less common than abuse of most other substances. It does occur, however, and parents and schools need to exert greater control over the dispensing of these medications. Physicians are advised to prescribe non-stimulant medications (eg, bupropion) when treating attention deficit hyperactivity disorder in substance-abusing individuals.

Adolescent↗
PubMedDate not supplied

A comparison of classroom and distance learning techniques for rural EMT-I instruction.

OBJECTIVES: To determine whether two different distance learning techniques are as effective as classroom teaching for training rural-based emergency medical technician-intermediate (EMT-I) students. METHODS: A prospective, nonrandomized comparison of three different instructional methods, with the outcome measurements being mean test scores and attrition rates, was devised. Fifty-seven EMT-I students from rural communities in central Texas were assigned to one of three groups. Each group received 50 hours of didactic instruction based on the U.S. Department of Transportation EMT-I curriculum. The same instructor taught all classes, and all groups used the same workbooks, syllabi, and computer-based tutorials. Group 1 (n = 25) received traditional classroom instruction. Group 2 (n = 18) received instruction using a two-way audio/graphic computer network. Group 3 (n = 14) received instruction using a satellite-based audio/video networks. All students then took a standardized multiple-choice examination. Attrition rates were based on the number of those who qualified for EMT-I certification. RESULTS: Mean test results for each group were as follows: group 1, 93 (95% CI = 91-95); group 2, 94 (95% CI = 93-96); group 3, 94 (95% CI = 92-96). No significant difference was noted in mean test scores between groups (p = 0.21). Attrition rates were as follows: group 1, 88% (95% CI = 69-97%); group 2, 100% (95% CI = 81-100%); group 3, 86% (95% CI = 57-98%). No significant difference was seen in attrition rates between groups (p = 0.24). CONCLUSIONS: No difference was found in mean test scores or attrition rates between traditional classroom and two distance learning methods for rural-based EMT-I students. Distance learning techniques may offer an effective alternative for providing educational opportunities to rural EMS providers.

Certification↗
PubMed2003

Unemployment -- an important predictor for future smoking: a 14-year follow-up study of school leavers.

AIMS: To analyse predictors among pupils leaving compulsory school for smoking and high alcohol consumption as adults. METHODS: A prospective cohort study in which all pupils (N = 1083) in the last year of compulsory school were followed for 14 years. The data were collected through repeated comprehensive self-administered questionnaires. RESULTS: Smoking was better predicted than alcohol intake. The best predictors were earlier high alcohol intake and earlier smoking. Among other predictors, low grades, poor teachers' prognoses and early unemployment pointed to unfavourable health habits, mainly smoking. CONCLUSIONS: It is possible already at school to identify risk groups for future smoking and high alcohol consumption.

Adolescent↗
PubMed2004

Educational resilience among youth at risk.

Educational experts and others recognize the importance of early school experiences on later educational outcomes. Following a sample of youth based on 692 files from low-income, single parent families over time, from one urban school district in the Southeastern United States, 1989-1990 to 1996-1997, we apply event history analytic techniques to examine the relationship between first grade retention and completing high school. The findings indicate that being retained in the first grade increases the risk of dropping out of high school years later. The results also show a link between retention, extracurricular activity participation, and high school completion. The risk of dropping out is lower for those youth who were retained and were involved in activities during high school. The implication is that educational trajectories can be redirected such that positive educational outcomes can occur.

Adaptation, Psychological↗
PubMed2003

The European Smoking Prevention Framework Approach (ESFA): short-term effects.

The European Smoking Prevention Framework Approach (ESFA) resulted in a smoking prevention project for six European countries. It included activities on four levels: adolescents, schools, parents and out-of-school activities. Common goals and objectives were developed, but countries were also able to include additional objectives. National diversities required country-specific methods. The most important common element was a school-based programme consisting of at least five lessons paying attention to social influence processes and training in refusal skills. During the first year, significantly more smoking prevention activities were realized in experimental schools compared with control schools. Not all countries had the same number of lessons on resisting peer pressures. Significant cognitive changes were observed in Spain, resulting in more negative attitudes, increased self-efficacy levels and a more negative intention towards smoking in the experimental group. Counter-productive cognitive effects were observed in the UK. Significantly less onset of weekly smoking in experimental groups was found in Finland (4.7%) and Spain (3.1%). Counter-productive effects were observed in Denmark and the UK. In conclusion, while having common objectives, the ESFA approach allowed for a great deal of diversity. Fundamental research using dismantling designs is needed to be able to detect the most effective elements of smoking prevention programmes for different age groups. Attention to parenting styles and practices is also needed.

Adolescent↗
PubMed1976

Psychosocial aspects of sickle cell disease.

The study described in this article deals with sickle cell patients in Jamaica whose illness is accompanied by leg ulceration, a common complication of sickle cell disease. After exploring the disease's psychological, social, and economic effects, the authors suggest various ways for social workers to help sickle cell patients.

Adaptation, Psychological↗
PubMed1997

The SAFE project: community-driven partnerships in health, mental health, and education to prevent early school failure.

This article presents a case study of an innovative school-based health and mental health project that prevents early school failure in one county in Oklahoma. Success is attributed to social work development of broad-based partnerships involving families, schools, communities, and public policy officials. Citizen-driven, these partnerships have meshed previously fixed institutional boundaries in health, mental health, and education to prevent early school failure. The article describes school-family partnerships that form the core of the project's service intervention model. Statistics on service activities and outcomes are presented, along with a discussion of lessons learned for implementation of the project.

Adolescent↗
PubMed1975

Physical therapist assistant selection and academic success.

Assessment of a standardized test as one criterion for student admission to a physical therapist assistant program is made. Comparisons are made of ACT scores between the physical therapist assistant and associate degree nurse, and the physical therapist assistant and the practical nurse. A correlation matrix was used to analyze data with differences among the three groups determined by t test computation. This sample supports a positive correlation of ACT test scores with graduation grade point average. The means show no significant difference between the two associate degree programs and a significant difference between the associate degree programs and the practical nurse program.

Achievement↗
PubMed1998

Social support for adolescents at risk of school failure.

Social support, widely studied as a variable that positively affects the adaptation of adolescents, is often less present in the lives of youths at risk of school failure. This study explores the social support of at-risk students, including who provides each of eight types of support, and the effects of particular types of social support on school performance outcomes. Results of analyses of data from students enrolled in Communities in Schools programs, indicate that parents and adult caretakers are major sources of social support for both middle and high school at-risk students. Analyses of school outcomes data indicate that particular types of social support are associated with different desirable school outcomes. The article presents implications for social work practice and the development of intervention strategies to enhance students' school performance and behavior.

Adolescent↗
PubMed1976

The University of Michigan integrated premedical-medical program.

The University of Michigan Medical School and the College of Literature Science and the Arts are now conducting a six-year program for recent high school graduates which integrates a liberal education and the work necessary for the M. D. degree. There is a single admission point in the spring for seniors in high school. Personal characteristics are heavily emphasized in the admissions process. A number of innovative course sequences have been developed for the program. A variety of evaluation studies are being conducted and will be available as they are completed.

Curriculum↗
PubMed1987

Recruitment and retention of minority students in a physician assistant program.

The authors report two years of experience in the recruitment and retention of minority physician assistant students and the employment patterns of graduates from one physician assistant program. Recruitment strategies increased the proportion of minority students to 54 percent in the first year of the program and to 44 percent in the second year. The number of years of postsecondary education and clinical experience acquired by the minority students before admission to the program tended to have less impact on their performance in training than did their prior completion of formal academic degree programs and prior level of clinical responsibility. Attrition was higher for the minority students than nonminority students, and the minority students took longer than nonminority students to complete the program. The rates at which the students passed the certifying examination of the National Commission on Certification of Physician's Assistants were comparable for the two groups. Minority graduates tended to practice in areas of health manpower shortage.

Adult↗
PubMed1989

Understanding and predicting the yield in medical school admissions.

Graduate and professional schools in general, and medical schools in particular, have traditionally not paid a great deal of attention to applicant "yield"--the proportion of accepted applicants who eventually confirm their intention to matriculate. This study examined data for all students who were accepted for the years 1985-1987 at an urban, private medical school in the Northeast. The author attempted both to estimate the probability of an accepted applicant's matriculating at the institution and to demonstrate the relative effects of selected variables on the applicant's final decision. Through the use of the maximum-likelihood estimation technique, the resulting model indicated that probability ranges for matriculation may be derived using data available from computerized student records. The model was able accurately to classify more than 70% of the students into either the "matriculant" or the "non-matriculant" category.

Educational Measurement↗
PubMed1993

Choices of training programs and career paths by women in internal medicine.

PURPOSE: To examine the choices of career paths of women in internal medicine, specifically to determine (1) whether women continue to prefer primary care practice more often than men do and (2) whether differences in career paths between men and women result from differences in the natures of the training programs they complete. METHOD: A database containing demographic, training, and clinical-practice information on 19,151 physicians (3,569 women and 15,582 men) who had been trained in internal medicine was constructed by merging data from the National Resident Matching Program matches in internal medicine for 1977-1982 with data from the 1985 American Medical Association Physician Masterfile, which contains physician practice profiles. RESULTS: Similar percentages of the men and the women chose primary care residencies (8% versus 9%, ns) and trained in the 100 major medical centers (49% versus 50%, ns). The women more frequently trained in programs affiliated with medical schools in the top prestige quartile (38% versus 33%, p < .05). The attrition rates of residents who left their training for careers in other medical fields were the same for the men and the women (14%). Fewer women obtained board certification (74% versus 80%, p < .01). The women chose to practice general internal medicine more frequently than did the men (52% versus 45%, p < .0001), regardless of the training program completed (primary care or traditional). CONCLUSION: The women pursued primary-care-oriented internal medicine to a significantly greater degree than did the men, regardless of the type of training program completed (primary care or traditional).

Career Choice↗