The use of highly specific objectives can be the basis for a second-year podiatric surgical residency program. They show both residents and attending staff precisely the knowledge and skills to be achieved and aid evaluation of students. A series of objectives is provided. (MSE)

Information about practice problems was solicited through a structured questionnaire completed by 59 family physicians, 101 pediatricians, and 102 orthopedic surgeons. Across all three groups, a lack of personal time was the major concern. Practice concerns vary among the specialties, a finding of interest to physician education. (SLD)

Reports on the experiences of patients with laryngeal cancer who used art therapy. Drawing on 14 years of experience and 109 laryngeal cancer patients, describes treatment results and the case material substantiating the distinct role of art therapy. Provides an overview of the special medical and therapeutic needs of this group. (RJM)

Discusses the development and implementation of a surgery-patient education program in two Dutch hospitals. Evaluation of the new program shows that the specified information was provided to only a limited extent, partly because of problems with the implementation process and partly because some information was made available for patients to use…

A case study of the impact of video technology on surgical work identified technological foundations of two structures in decentralized work units. Unilateral control by a dominant actor in a team works best with segmented tasks and face-to-face context. Teams with group-based coordination work best when team actions involve complex…

This is the story of my daughter, Hannah. Hannah is an amazing child. She can speak, read, and write English. She can play the piano and violin and she is mainstreamed into a third grade class. Hannah was born profoundly deaf and was not diagnosed until she was almost two years old. She received a cochlear implant when she was 2 1/2 years old.…

This study examined the relationship between presurgery speech measures and speech and language performance at 39 months as well as the relationship between early postsurgery speech measures and speech and language performance at 39 months of age. Fifteen children with cleft lip and palate participated in the study. Spontaneous speech samples were…

Using the Perceived Stress Scale (PSS), perceptions of global stress were assessed in 111women following breast cancer surgery and at 12 and 24 months later. This is the first study to factor analyze the PSS. The PSS data were factor analyzed each time using exploratory factor analysis with oblique direct quartimin rotation. Goodness-of-fit…

In this study, children with strabismus, as a group, had significantly more academic and nonacademic difficulties than did children without strabismus. However, since not all the children with strabismus had academic difficulties, other factors that are associated with strabismus, such as headache, eyestrain, perceptual difficulties, and…

Camille Tessitore King is an Assistant Professor in the Department of Psychology at Stetson University in DeLand, Florida, where she teaches Introduction to Psychology, Great Experiments in Psychology, Biological Psychology, as well as other advanced topic courses such as Drugs and Behavior. She received her BA, MA, and PhD from the University of…

In their role as committed advocates, parents of children with Down syndrome have always sought alternative therapies, mainly to enhance cognitive function but also to improve their appearance. Nutritional supplements have been the most frequent type of complementary and alternative therapy used. Cell therapy, plastic surgery, hormonal therapy,…

Tracheoesophageal (TE) speakers often have difficulty producing the voiced-voiceless distinction. Phonation offset (POff) as a TE speaker transitions from a vowel to a stop consonant may be altered, possibly contributing to listener misperceptions. The purposes of this study were to: (1) compare the duration of POff in TE versus laryngeal…

Individual patient records from the National Hospital Discharge Survey for 1988 and 1998 comprising approximately 10 million cases were the basis for a binary logistic regression model to predict coronary artery bypass graft. Patterns in 1988 and in 1998 indicated a dramatic and pernicious gender discrepancy in medical decisions involving bypass…

In recent years, parents of children with hearing loss and various additional disabilities have shown increasing interest in cochlear implants. This article describes how the program in Hanover, Germany is attempting to respond to this interest. It discusses the selection process for children who receive cochlear implants who have multiple…