Determines the incidence of end-stage renal disease (ESRD) among Native Americans and Whites in the United States from 1983-86. Findings indicate 1,075 Native American cases represented an annual incidence 2.8 times the rate for Whites. Fifty-six percent of Native American cases and 27 percent of White cases were attributed to diabetes. (JS)

As young people survive childhood cancer at ever-increasing rates, the late effects of treatment that affect growth, development, and cognitive functioning must be considered. This paper describes medical treatment for childhood cancer, long-term survival and general effects of treatment, cognitive late effects of treatment, and educational…

The article analyzes three challenges confronting academic medical centers in the areas of education, patient care, and research. Encouraged are: (1) an expanded role by medical centers in training primary care physicians; (2) modification of physician reimbursement policies; and (3) resolution of conflicts of interest for biomedical scientists in…

Evaluated medical residents and discovered that although they considered detection and treatment of comorbid depression to be important, they knew few of the diagnostic criteria and etiological factors, rarely screened patients for depression and viewed current treatments as only marginally efficacious. Discusses implications for graduate…

Evaluated 150 geriatric medical inpatients for psychological dysfunction. Found 27.3 percent of subjects had at least one psychological disorder and 15.3 percent of total sample had a depressive disorder. Comorbid depression was associated with greatest level of psychological distress and dysfunction, and with poorest physical health status.…

This annotated bibliography lists organizations and publications in the following categories: general information on aging, career guidance, curriculum materials, education and training, family services, health care, intergenerational programs, nutrition, opportunities for older adults, program development, and research. (SK)

Reviewed 273 medical records and interviewed 42 referring physicians to examine effectiveness of geriatric day hospital (GDH). Found that GDH provided intensive outpatient care, geriatric assessment, rehabilitation, and alternative to hospitalization: 21 percent of physician-referred patients would have been hospitalized without GDH, 7 percent…

This paper describes Carpal Tunnel Syndrome and its ramifications for sign language users, in particular, educational interpreters. Discussed are the syndrome's incidence, causes, diagnostic procedures, medical and surgical interventions, and prevention guidelines. (JDD)

Children with specialized health care needs often require educational personnel to provide the necessary health-care service. Reviews the following: range of health-related services; assessment of services as medical in nature; inconsistent standards for delivery of related services in Ohio; and standard of care required of nonmedical personnel.…

Reviews the controlled medical vocabularies available today and some of the reasons why they have failed to meet the needs of application developers. Topics include standard vocabularies, including International Classification of Diseases and Medical Subject Headings; uses of vocabularies in medical computing; current research; and remaining…

Explains consumer health informatics and describes the technology advances, the computer programs that are currently available, and the basic research that addresses both the effectiveness of computer health informatics and its impact on the future direction of health care. Highlights include commercial computer products for consumers and…

Admissions of 370 people with developmental disabilities to a community hospital were examined to determine how coordinated care affected length of stay and hospital charges. The coordinated care admissions stayed less time and had lower charges compared to admissions who received their routine care by community physicians. (Author/SW)

All child abuse-related patients (n=503) seen at 1 Cape Town (South Africa) hospital over a 1-year period were reviewed. Abuse was confirmed in 389 cases (160 physical abuse and 229 sexual abuse). Most (81 percent) of the young children were seen by residents with minimal pediatric training. Lack of staff speaking Xhosa (spoken by 134 of the…

Discusses problems with pediatric care of foster children that were identified in a survey of pediatricians in Connecticut. Reviews recommendations of the Health Advisory Committee to the Connecticut Department of Children and Youth Services. Describes several solutions that have already been implemented in Connecticut. (BB)

A study investigated the attitudes of 255 medical residents at a large public hospital concerning factors that justify strikes. The study followed a housestaff work action. Residents' attitudes varied depending on issues involved and the extent of risk to patients. (Author/MSE)