High prevalence of recent cocaine use and the unreliability of patient self-report in an inner-city walk-in clinic
Inner-city men who use cocaine may not report their drug use accurately to health care workers. Of 415 men between 18 and 39 years old who were patients at an inner-city emergency clinic, 160 (39%) had a positive urine test for cocaine use. Among these men who tested positive for cocaine use, 87.5% admitted non-specific illegal drug use within the last year, but only 60.6% admitted cocaine use during that time. Thirty-five men (21.9%) with positive urine tests admitted cocaine use within the prior 48 hours, and 45 of these men (28%) reported cocaine use in the prior 72 hours. Men who had positive urine tests were more likely to be older and black with history of a prior sexually transmitted disease than were those who tested negative. The abuse of cocaine among inner-city men may be much higher than reported.
Publication Name: JAMA, The Journal of the American Medical Association
Attention deficits in children and adolescents with hearing loss: a survey
Children with hearing loss due to disease (acquired deafness) may be more likely to have attention problems than children with hereditary deafness. Teachers and dormitory supervisors at a residential school for the deaf answered questionnaires about 238 students, ranging in age from four to 21 years. The three questionnaires used are standard research tools for rating behavior and attention problems. Ratings were compared by cause of deafness, and the 75 students with acquired deafness had scores indicating that theyhad attention deficits and learning problems. Almost 40% of the students with acquired deafness had below normal scores, compared to only 14% of the students with hereditary deafness.
Publication Name: American Journal of Diseases of Children
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