In this article we describe how an advance care planning (ACP) program was developed, implemented, and evaluated. Our aim was to improve ACP in palliative care for people with intellectual disability (ID). The program was based on 10 competencies needed for ACP and was developed in a co-design process with people with ID, relatives, and…

The emergency action plan (EAP) at physical education and sport venues is a necessity, no matter the level. Although medical emergencies are rare, an EAP helps to ensure a smooth response, necessary for positive outcomes. Many entities should be involved developing the EAP. All personnel who act in an emergency must be trained in first aid and…

Adolescents with ADHD experience serious impairment that taxes our education, mental health, and healthcare systems as well as the children and families. The development and evaluation of effective treatments for these youth have lagged far behind that of many other disorders and age groups. This manuscript describes the treatment development…

A report is given of the work of a group convened by the World Health Organization (WHO) to address the issues related to the development of Model Health Care Programs (MHCPs), and to apply the principles thus identified to the case of a specific health problem--low back pain. A discussion of the principles of the development of MHCPs includes…

This guide presents an overview of Medicaid's health programs for children: the Early and Periodic, Screening, Diagnostic, and Treatment (EPSDT) program. Written primarily for Head Start Programs that are interested in increasing access to preventive and treatment services for their Medicaid-eligible children, the purpose of this guide is to…

Methadone maintenance is a relatively new method for treating heroin addiction. Controversy and questions remain about the drug itself and its use of methadone. The author was engaged by The Drug Abuse Council to prepare these descriptions of four methadone programs and the accompanying summary. The evolution of these programs is examined, and the…

The University of Southern California School of Dentistry opened an evening dental clinic to accommodate patient scheduling needs. It found that faculty and students overwhelmingly supported the clinic hours and that a new clientele emerged. (MSE)

Physical changes in and conditions of the eye associated with the normal aging process are discussed with reference to their impact on performance in physical and recreational activities. Descriptions are given of characteristic changes in visual acuity in the areas of: (1) presbyopia (inability to clearly focus near images); (2) sensitivity to…

In the story of STARPAHC (Space Technology Applied to Rural Papago Advanced Health Care) the genesis of the telemedicine concept at NASA is traced; a brief account of the history of the Indian Health Service (IHS) and the activities of the Office of Research and Development (ORD) are given; the culture and aspirations of the Papago people are…

The development of competitive markets for health services and the shift to the provisions of services through large-scale organizations are having a profound effect on academic health sciences centers. The teaching programs based at the University of Minnesota Hospital and Clinic are threatened as health maintenance organizations restrict…

The challenge facing many emergency medical services (EMS) is the implementation of a comprehensive educational strategy to address emergency responses to terrorism. One such service, Johnson County (Kansas) Medical Action, needed a strategy that would keep paramedics safe and offer the community an effective approach to mitigation. A…

The development of the National Institute of Mental Health and Neuro Sciences (NIMHANS) in Bangalore, India, is chronicled over its 10-year history. The volume begins with an examination of the Institute's organization and administration, funding, staffing, teaching activities, etc. Subsequently, reports from 26 departments of NIMHANS are…

This report presents (1) information on the incidence, causes, development, transmission, control and prevention of parasitic infections and (2) a report of how Hawaiian Follow Through Students infected by parasites were identified and provided with treatment. The students were enrolled in kindgergarten through third grade classes at three…

The reasons for the University of Michigan's decision to end development of a health maintenance organization are outlined from its different perspectives as an employer, health care provider, and medical school. Among the considerations were employee attitudes, insurance costs, competition, and revenue sources of the medical school. (MSE)

A pilot program at the University of California, Davis, that incorporated skilled nursing facility training into the required curriculum of their primary care internal medicine residency is described. The goal was to increase the residents' knowledge in the care of geriatric patients. (MLW)