Objective: To compare the effectiveness of three different examination methods in their ability to help the examiner detect both acute and non-acute genital injuries in prepubertal and pubertal girls suspected of having been sexually abused. Methods: Forty-six prepubertal and 74 pubertal girls, whose ages ranged from 4 months to 18 years, were…

Learning to select optimal behavior in new and uncertain situations is a crucial aspect of living and requires the ability to quickly associate stimuli with actions that lead to rewarding outcomes. Mathematical models of reinforcement-based learning to select rewarding actions distinguish between (1) the formation of stimulus-action-reward…

Study evaluates the functioning of the central nervous system (CNS) of 15 neonates born at-risk for neurological sequelae and 15 healthy controls. CNS information was generated through the use of two measures: (1) the Neurological and Adaptive Capacity Score (NACS) and the auditory brainstem response (ABR). (Author/RWB)

There is a lack of information on the use of multi-source evaluation to assess trainees' interpersonal and communication skills in Oriental settings. This study is conducted to assess the reliability and applicability of assessing the interpersonal and communication skills of family medicine residents by patients, peer residents, nurses, and…

The construct validity of the standardized-patient (SP) examination used at Southern Illinois University (Springfield) School of Medicine was assessed by comparing 66 second-year and 70 fourth-year medical students on 5 SP cases. The results show sizable differences between the groups. The usefulness of passing rates the effect-size measures as a…

Three commonly used indices of cost-effectiveness are compared for their usefulness to health care professionals. The methods are the cost-benefit ratio, the cost-effectiveness ratio, and the net benefit methods. The net benefit is considered the preferred index of cost-effectiveness. (TJH)

The new quality assurance system for nursing homes implemented by the New York State Department of Health in 1981 was compared to the previous system. The new system devoted more resources to on-site activities and identified more patient-care deficiencies and more repeat deficiencies. (SLD)

Some guidelines are offered for interpreting and evaluating meta-analytic reviews of research. The choice of unit of analysis, the issue of fixed versus random effects, the meaning of heterogeneity, the determination of appropriate contrasts, and the choice of measures of central tendency are discussed. (SLD)

A modified Payne process and the JCAH intermediate outcome medical audits were applied to 6,980 cases in eight diagnostic categories within 22 hospitals, representing 1,321 attending physicians. The effects of item specificity, total number of items, outcome versus process indicators, and item weights on measurement characteristics of audit…

Utilizing a quality assessment methodology for ambulatory patient care currently under development by the Indian Health Service's (IHS) Office of Research and Development, comparisons were made between results derived from a pilot test in IHS service units, 2 metropolitan Health Maintenance Organizations (HMO), and 3 rural private practices.…

Focus group findings were compared with survey findings for three studies in which both methods were used. Studies conducted on voluntary sterilization in Guatemala, Honduras, and Zaire with over 2,000 subjects confirm that focus groups yield information similar to that obtained from surveys and are useful in program planning. (SLD)