Trends in the numbers of positions offered and filled by U.S. medical school graduates who enrolled in the National Resident Matching Program (NRMP) in 1981 are described. (MLW)

The intensive care pediatrician who prophesies to parents that their child's illness is irreversible may encounter denial and hostility. Four cases are reported in which parents rejected their child's hopeless prognosis, counterprophesied miraculous cures, resolved to obtain exorcism, criticized the care, or accused nurses of neglect. Journal…

This article describes a cyclic process of patient care evaluation especially suited for use in ambulatory care settings such as a university campus. (JD)

Recounted are results of studies on emotional aspects of head injury to children, with emphasis on parental reactions. (IM)

Qualifications that a hospital must meet to be tax exempt are outlined and discussed. Focus is on organizational and operational characteristics, public vs. private benefit, and prohibition of political activity. (LBH)

The author describes a program for treatment of alcoholism among Baltimore's growing population of American Indians. Although the program is still in the early stages of operation, its chance of success seems to be promising because it takes into account conflicting influences of the Indian and American cultures. (Author)

This paper examines gender differences in smoking that may lead to differential treatment process and outcome, suggesting ways to incorporate nicotine replacement products into treatment strategies adapted to the special needs of women smokers and discussing withdrawal symptomatology, maintaining abstinence, weight concerns, menstrual cycle…

Forty-nine consecutive cases seen at a child abuse referral clinic for children with disabilities were analyzed. The largest number of referrals came from child protective services. Eighteen percent of cases had a history or physical examination that were diagnostic for child maltreatment; thirteen percent were thought to be at high risk. Only 48%…

Describes symptoms and treatment of juvenile bipolar disorder (manic depression). Suggests teacher role in identifying and managing students with bipolar disorder. (PKP)

Evaluated the impact of Accessing Community Care through Eastside Social Services (ACCESS), a program that provided indigent patients with free primary care, on inpatient admissions, emergency room (ER) visits, and subsequent charges. Data on 19 people before and after program enrollment showed significant decreases in ER visits following…

The paper describes current research interests and priorities of the Agency for Health Care Policy and Research, relates those interests to dentistry and oral health, and discusses the development of practice guidelines within the context of other initiatives of the Agency including the Medical Treatment Effectiveness Program. (DB)

Shows how present emphasis on patient autonomy overlooks ways in which intimate relations enable autonomy to function meaningfully and how traditional categories of competent and incompetent discount intimacy as tool for accessing patients' subjective experiences. Urges intimate associations to mark moral boundaries for autonomy because they…

A 21-year-old man with Down's syndrome who exhibited unexplained depressive symptoms and intermittent features of a Parkinson-like syndrome was treated with amitriptyline for 18 months. Gradual improvements eventually saw almost complete recovery of his former personality. Discussion of undiagnosed but treatable depression among Down's syndrome…

Among 119 low-income Canada Natives living in Saskatoon, interview survey found utilization of traditional medicine (1) did not detract from utilization of Western medical services; (2) was related to proficiency in an Indian language; and (3) was not related to difficulty in using Western medicine, age, income, or education. Contains 24…

Describes a women's health course that teaches strategies promoting self-awareness, self-esteem, independence, risk taking, empowerment, and assertiveness. Links caring and empowerment as related to the nursing profession. (SK)