Outlines need for sociomedical services for elderly in developing countries in transitional stage of urbanization, changes in structure and role of families, and inadequate resources for establishing community-based elderly care programs. Focuses on analysis of human resource needs for training of health workers. Proposes integrated approach for…

This rebuttal to Goldberg's criticism (EC 609 744) concerning Herzog and Money's 1993 paper on Klinefelter Syndrome supports the use of Depo-Provera as an adjunct to counseling in cases of pedophilia in men with Klinefelter's Syndrome. (DB)

This literature review analyzes 47 studies and reports on the type and range of medical care, resources, and support services needed to maintain individuals with mental retardation in the community; health-related outcomes; barriers to the provision of community-based medical services; and availability and access to services. (Author/JDD)

Describes a reading recognition test called Rapid Estimate of Adult Literacy in Medicine (REALM) that is designed to identify low literacy levels in patients. Notes that information thus obtained is useful in directing patient-physician communications and in promoting patient understanding of commonly used oral and written medical information. (SR)

A study compared time required for evaluation of 468 academic group practice outpatients by surgeon and resident with that required for 216 patients seen by the surgeon alone. On average, 24.2 minutes were added for resident examination and discussion, suggesting a time cost for both patient and surgeon. (Author/MSE)

The symptoms of Meniere's disease, including tinnitus, fluctuating hearing loss, and vertigo, present specific problems in the school setting. The paper reviews the literature on Meniere's Disease in childhood, focusing on incidence, symptoms, diagnosis, etiology, treatment, and implications for management in the school environment. A case study…

This article presents information on macular degeneration for professionals helping persons with this disease adjust to their visual loss. It covers types of macular degeneration, the etiology of the disease, and its treatment. Also considered are psychosocial problems and other difficulties that persons with age-related macular degeneration face.…

Data from 2,226 patients were used to determine dimensions of satisfaction with medical care, the relationship between direct and indirect methods of assessing care, and the extent to which visit-specific and global satisfaction with care covary. Results support the multidimensionality of satisfaction ratings but show some covariation. (SLD)

This paper describes a continuing psychotropic drug review process at a community-based agency serving individuals with mental retardation. The goals of establishing data-based interdisciplinary team review, utilizing concurrent alternative treatments, and prescribing psychotropic medication at the lowest effective dosage only to those individuals…

Examined whether instructional unit on death and dying during emergency medical technician course reduced death anxiety in trainees. Found no significant differences between treatment group (n=28) that received unit and control group (n=25) that did not on pre-, post-, or delayed-tests. Death education apparently had no more influence on death…

Telemedicine, the ability to examine patients while physically removed from them by using high-tech virtual treatment, is used increasingly to diagnose and prescribe treatment for patients in nontraditional settings. In Los Angeles (California), Charles R. Drew University of Medicine and King-Drew Medical Center communicate in real time with…

Once a financially healthy part of American universities, many academic health centers are struggling to survive. Many are merging with for-profit chains or declaring bankruptcy. The advance of managed care and insurance companies focusing on reducing costs appears to be affecting teaching hospitals more than community hospitals. (MSE)

Reviews the changes managed health care has brought to the delivery and use of medical services and recommends specific steps that will make the existing system more responsive to the needs of children. Systemwide health care reforms must give children stable medical care that emphasizes preventive health and developmental services. (SLD)

Lays the foundation for other articles in this special issue by providing an overview of managed health care as it now operates. Children are increasingly being enrolled in such plans even though there is little information about the effects of managed health care on this population. (SLD)

In "Cedar Rapids Community School District v. Garret F.," the U.S. Supreme Court ruled that severely disabled students have a right to health services supporting their education. The decision, which clarifies the extent of medical services required by the Individuals with Disabilities Education Act, will prove expensive for school…