This bulletin is part of the "Juvenile Offenders and Victims National Report Series." The "National Report" offers a comprehensive statistical overview of the problems of juvenile crime, violence, and victimization and the response of the juvenile justice system. During each interim year, the bulletins in the "National…

A measure, the Self-Injury Trauma Scale, is described for classifying and quantifying surface tissue damage. The scale permits differentiation of self-injurious behavior according to topography, location of the injury on the body, type of injury, number of injuries, and estimate of severity. High interrater reliability has been found. (Author/DB)

Various issues related to positioning infants and children with central nervous system dysfunction in order to conduct videofluoroscopic swallowing function studies are discussed. Extensive illustrations demonstrate solutions to specific problems. (DB)

Gilles de la Tourette syndrome is a disorder characterized by multiple involuntary motor and verbal tics. This review covers the history, symptoms, diagnostic criteria, past and present treatments, associated disorders, and various educational techniques. (Author/DB)

Review of employment laws affecting libraries includes definitions of qualified personnel, laws pertaining to medical and honesty testing, affirmative action, and sexual harassment. Laws covering crime within libraries are also discussed, as well as problems with existing legislation. (CLB)

Clinical histories and physical findings are presented for 2 sisters with Rett syndrome. The older sister, age 25, was typically affected, whereas the younger sister, 22 years old, was affected with a seizure disorder showing an unusually early onset. The paper discusses hypotheses in genetic causation of Rett syndrome. (JDD)

This study investigated the thyroid function of 181 patients (mean age 14 years) with Down's syndrome and found more thyroid dysfunctions than in the general population. Periodic thyroid hormone function tests are recommended for Down's syndrome individuals, especially as they get older. (Author/DB)

The article discusses the measurement of brain electrical activity and, in particular, the examination of electroencephalographic (EEG) data, as providing useful information in the diagnosis of dyslexia and other learning disabilities. Topographic imaging of EEG (TIE) is described as a procedure which provides functional data at comparatively low…

The nurse practitioner can assist in the diagnosis of the learning disabled child by evaluating health and family history, and by performing basic physical and neurological examinations. (JMF)

Discusses how clinical diagnosis is taught to third year medical students, focusing on the software developed and used. At present, the system utilizes menu presentation on an IBM PC, with keyboard responses. (JN)

An interim set of human immunodeficiency virus (HIV) testing guidelines for victims of pediatric sexual abuse (PSA) is proposed. Guidelines are based on responses of 63 practitioners of PSA assessment to 7 hypothetical clinical profiles with 12 testing criteria. (Author/DB)

A comparison of patient (n=181) and tutor (n=31) evaluations of medical student (n=41) behavior in an internal medicine clerkship revealed difficulties with patient evaluation of students. The process is time consuming and introduces tension between students and patients, and patients are poor discriminators. (Author/MSE)

This courseware evaluation rates the "Introduction to Nursing Diagnosis" program developed by J.B. Lippincott Co. (The program--not included in this document--is a tutorial for second-year nursing students; it presents diagnosis as a mathematical formula). Part A describes the program in terms of subject area (allied health, nursing) and hardware…

The review of research concluded that, although brain damage affects visual functioning, the prognosis for good functional vision after remedial intervention is better than previously thought. Although electrodiagnostic testing was found to be valuable, use of a combination of tests is recommended to obtain the most complete picture of brain…

Blood pressure and pulse are measured in supine and upright positions, and certain differences between the values are said to indicate fluid volume disturbance. Most discussions of this "orthostatic test" do not explain how it should be done, and they differ from what has been observed in a practice setting. (MLW)