Background: Speech in individuals with cleft lip and/or palate (CLP) is a complex myriad of presenting symptoms. It is uniquely associated with the structural difference of velopharyngeal insufficiency (VPI), together with a wide and heterogeneous range of other aetiologies which often co-occur. The nature of the speech sound disorder (SSD)…

Purpose: Little is known about mental health disorders (MHDs) and their associated health care expenditures for the dual eligible elders across long-term care (LTC) settings. We estimated the 12-month diagnosed prevalence of MHDs among dual eligible older adults in LTC and non-LTC settings and calculated the average incremental effect of MHDs on…

Stroke is the second leading cause of death and a major cause of adult disability in Taiwan. This research established correlations between pre-admission and discharge data in stroke patients to promote education of the general public, prevention, treatment and high standards of chronic care. A total of 790 stroke patients at Chung Shan Medical…

Aim: The objective of this longitudinal study was to describe the course of social functioning and communication in children with cerebral palsy (CP) over a 3-year period, its difference with the normative course, and its relationship with disease characteristics and personal and environmental factors. Method: Participants in this study were 110…

Purpose: Although caregivers desire specific information about hospice programs, there is little descriptive information available. We characterized agencies that provide formal or informal hospice care in the United States according to four types of services considered important by caregivers: medications and treatments; rehabilitative care;…

Michigan physicians (N=930) were asked whether they made nursing home visits and if not, why not. A typology was developed to differentiate among various physician types based on reasons given. Six physician types were found, each identified with a different policy lever that could be used to encourage them to treat nursing home patients. (Author)

Surveyed a national sample of 416 hospitals to describe the range and frequency of services offered specifically for older adults and to identify characteristics of hospitals associated with particular services. The findings show that hospitals of all types throughout the nation offer a broad array of health and related social services for older…

Using data from an academic nursing center that cared for 3,263 patients over eight months, diseases were classified using International Classification of Diseases codes, and procedures were classified using Current Procedural Terminology codes. Patterns of health care emerged, with implications for clinical teaching. (SK)

Patient classification systems in nursing, primarily limited to their application in hospitals, are the topic of this monograph. Following a brief introduction discussing their role and theoretical framework, the various uses of patient classification systems are discussed. Examples of patient classification systems in various settings are…

Corruption in higher education is a newly emerging topic in the field of education research. There is a phenomenal growth in the number of media reports on corruption in higher education over the last decade. However, the rigorous systematic research on education corruption is virtually nonexistent. This paper considers corruption in higher…

A technique for classifying hospitals on a multidimensional basis was developed. Three major sets of attributes were examined: patient case mix, facility mix, and personnel mix. Using multivariate techniques (factor analysis, cluster analysis, and discriminant analysis), 83 variables were examined for 547 hospitals. A total of six factors were…

A classification of nonmetropolitan counties based on type of economy, socioeconomic level, and land use was applied to inpatient psychiatric services data of the National Institute of Mental Health. The scarce inpatient mental health services in nonmetropolitan areas were located mostly in nonfederal general hospitals in specialized-government…

Examined discriminative validity of the Parent Rating Scale (PRS) of the Behavior Assessment System for Children (BASC; Reynolds & Kamphaus, 1992, Circle Pines, MN: American Guidance Services). Two groups were compared: a cohort with recurrent abdominal pain (RAP) (n = 49) and children from the BASC-PRS standardization sample (n = 49) matched…

Every child has characteristics, interests, abilities, and desires of his own. This is true of a child with a visual handicap whether the handicap is a mild one, correctable with glasses or treatment, or one as severe as blindness. A physical limitation, however, may adversely affect an individual's development, especially if proper help is not…