A short-term intensive alcoholism education program can effectively prepare members of Spanish-speaking ethnic groups to treat community members who have drinking problems. (JD)

Describes a devastating personal experience that led to a new awareness. Author still has no recollection of the head-on car wreck in which she was critically injured. She discusses the recovery process, especially the facilitative and inhibiting roles played by various people. Makes a plea for improvement in the training of health professionals.…

The employee medical reimbursement plan offers a new dimension in fringe benefits. This article discusses the purposes of such plans to determine who should adopt them, to guide draftsmen in their preparation, and to aid administrators and fiduciaries in their management. (LBH)

Develops an analysis of what is known about the etiology of hyperkinesis and what is known about the use of stimulant drugs for its treatment. Points out the ambiguities and confusions in diagnosis and treatment calling for an examination of the social and ideological influences upon the medical diagnosis and treatment of hyperkinesis. (Editor/RK)

Wulff v. Singleton represents the first case in which a physician has been granted standing when his sole injury arose from the possibility that he might not be paid for performing abortions. It also represents the first time a physician, as opposed to his patient, has been held to be denied equal protection. The court's rationale is examined.…

This report takes advantage of a natural experiment to compare length of hospital stay and use of diagnostic services among internists' patients admitted to a university hospital or to a neighboring community hospital. Cost differences were largely due to greater use of diagnostic services at university hospitals. (LBH)

This study investigated the effects of health care financing on the utilization and cost of services for people with developmental disabilities (n=22,986). Hospital admissions data was collected for alternate years between 1983 and 1991 and compared to the data for the nondisabled population of New Jersey. (Author/CR)

Describes a curriculum intended to culminate in a resident-produced, evidence-based guideline for the care of patients with diabetes. Evaluation of the curriculum showed that learners appreciated the skills and knowledge gained in devising guidelines in an evidence-based manner but were uncertain that their searches were complete. Clinical…

The study compared resident-patient encounters with 107 family practice residents over a 10-year period. Although the mean number of encounters were similar, 70.5 percent of the women residents' encounters were with female patients, compared with 63.1 percent of men residents' encounters. (Author/DB)

To investigate empirical assumptions about substituted judgment, 3 treatment decision scenarios were presented to 43 competent elderly persons and 115 persons related to them. Related subjects who were explicitly asked to make substituted judgment came significantly closer to elderly person's preferences than those who were asked to make their…

Medically treated unintentional injuries of children and adolescents were studied for one year in the clinic and the emergency room of a health maintenance organization. The highest rates of injury resulted from falls, recreational activities, and competitive sports. Restricted activity was needed for 55.9 per cent of the injuries. (VM)

Reports on one drug which is already in clinical use and the possibility of designing others that interrupt specific phases of the life cycle of the virus. Uses a chart, pictures, and diagrams to accompany explanations. (RT)

The pain-control phase of a rehabilitation program may include flexion or extension exercises, lumbar mobilization, traction and selective injections. When the pain has been relieved, the patient advances to the training phase. (JD)

Administered Value History Questionnaire to 170 teenagers and 170 adults to determine their wishes for future care. Results indicated that respondents definitely wanted to know truth about their health care and wanted to participate in decision making, even while dying. Majority did not want to be maintained indefinitely on life-support systems.…

Records the responses of various members of the American Art Therapy Association to questions of the future direction of art therapy. The history of art as a communal experience in which all members of society participate is being lost, and the emphasis on therapy is minimizing the importance of artmaking. (JPS)