A meta-analysis of studies on preparation for medical procedures and pain examined the relative effects of sensory, procedural, and combined sensory-procedural preoperational information on coping outcomes. Results indicated that, in contrast to sensory information, procedural information provided no significant benefits over control group…

Retinopathy of prematurity (ROP) has increased due to a high incidence of premature, low birthweight infants. Stages of severity range from no visual damage to total blindness, and educational problems of ROP children parallel those of other visually impaired children, early intervention being crucial. Treatments are either pharmacological or…

A study investigated the relationships among nine instruments designed to measure clinical knowledge and performance in a third-year surgery clerkship. Results suggest that various types of measures are necessary for broad evaluation of clinical performance. Instruments clustered into two groups: measures of medical knowledge and clinical…

Examined parent-child play in 30 4-year-old children with early corrective heart surgery (ECHS) and 30 typically-developing children. Children were compared on basic language measures and proportions of symbolic and nonsymbolic talk. Children with ECHS focused on concrete "here and now" talk and produced less symbolic talk; only one third of the…

The availability of cochlear implants in younger children has provided the opportunity to evaluate the relative impact of the production system, or the sounds young children can say, and the auditory system, or the sounds children can hear, on early vocal communication. Limited access to the acoustic properties of speech results in differences in…

A common cellular alteration, reduced post-burst afterhyperpolarization (AHP) in CA1 neurons, is associated with acquisition of the hippocampus-dependent tasks trace eyeblink conditioning and the Morris water maze. As a similar increase in excitability is correlated with these two learning paradigms, we sought to determine the interactive…

The involvement of different subregions of the striatum in place and response learning was examined using a T-maze. Rats were given NMDA lesions of the dorsolateral striatum (DLS), anterior dorsomedial striatum (ADMS), posterior dorsomedial striatum (PDMS), or sham surgery. They were then trained to retrieve food from the west arm of the maze,…

A large percentage of patients who have undergone laryngectomy to treat advanced laryngeal cancer rely on an electrolarynx (EL) to communicate verbally. Although serviceable, EL speech is plagued by shortcomings in both sound quality and intelligibility. This study sought to better quantify the relative contributions of previously identified…

Surgical treatment appears to improve the cognitive prognosis in children undergoing surgery for temporal lobe epilepsy (TLE). The beneficial effects of surgery on memory functions, particularly on material-specific memory, are more difficult to assess because of potentially interacting factors such as age range, intellectual level,…

This workbook, written in simple English with pictographs, helps adult learners of English in British Columbia (Canada) deal with biological and medical needs and hospital patient visits. Lessons include parts of the body, nurses' and doctors' examination and instructions, general health problems, hospital items, hospital admissions, and pre- and…

Preoperative interviews were conducted with 36 parents who had been counseled by their surgeons in regard to their children's impending palate surgery, to determine their ideas of how well their child would be able to speak following surgery. (IM)

The potential of the Area Health Education System to influence physician distribution is examined as reflected by a "core" surginal experience in a remote site of approximately 20,000 population. Some favorable attitudinal alterations were noted. (Editor/LBH)

The paper examines ethical issues in the transplantation of organs from infants with anencephaly into infants with severe heart and kidney disease. It argues that active euthanasia of infants with anencephaly should be prohibited to safeguard the rights of all persons with severe neurological disabilities. (Author/DB)

A pilot program based in a freestanding ambulatory surgery center at the Chicago Medical School Department of Surgery is described, its curriculum outlined, and the daily activities of the residents and medical students are detailed. A brief history of ambulatory surgery is given. (Author/MLW)

The author discusses how cataracts and glaucoma differ when they occur in children and why they may be more difficult to treat. While these conditions occur infrequently in children, they are more damaging and difficult to treat than when they occur in adults. (PHR)