Reviews research on eating disorders in adolescent athletes, including prevalence, its uncommonness among male athletes, risk factors, medical complications, prevention strategies, and implications for sport and exercise participation, management, and prognosis. (EV)

Examines the ways in which literacy functions in institutional encounters and focuses on the ways literacy interacts with power and authority. Examines the enactment of literacy in medical encounters. Finds that institutional encounters enacting the discourse system of American medicine reproduce power and dominance in fairly predictable ways. (TB)

Explores the marital happiness, state/trait anxiety, coping techniques, and types of support received for a national sample of men and women experiencing the infertility medical process. Suggests that counselors should be aware that medical treatment affects the distress level of the individual and couple and the types of coping used. Further…

Explored the relationship between the 1998 National Heart, Lung, and Blood Institute (NHLBI) weight guidelines and concurrent medical costs among 177,971 employees, retirees, and adult dependents from a nationwide manufacturing corporation. Results indicated that the six weight groups defined by the NHLBI guidelines were consistent with concurrent…

Describes how electronic medical records help the staff at University of Texas Health Services to serve students efficiently and collect data on the patient population. (EV)

Surveyed parents of 58 chronically ill children in a London hospital regarding their satisfaction with hospital services. Discusses factors associated with parental dissatisfaction at the times of preadmission, admission, and discharge. (BG)

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…

This account of the life of a mentally retarded man describes his early institutionalized years, his failure to retain employment, and the impact of uncontrolled diabetes on his health. The man's death is attributed to his societal devaluation and to failure of the human services field to engage in "life-sharing." (JDD)

The paper considers the current health care crisis in rural and inner city areas and proposes changes in physician education including changes in premedical education and medical school admissions criteria. Changed criteria could encourage more broadly educated students to enter the medical profession thus maintaining high standards while meeting…

Third-year medical students prepared case studies involving ethical issues, drawn from clinical experience. A study of the quality of the projects, the types of ethical issues raised, and attitudes expressed in them revealed limited student understanding of the range of ethical issues and widespread disagreement with physician handling of cases.…

Focuses on how written records are created during calls to a Poison Control Center. Describes the relationship between writing and speaking in this bureaucratic context. Finds that keeping written records extends the length of call processing time, representing a barrier to handling new calls promptly. (MS)

Followup 8 years after reduction of antiepileptic drugs in 50 institutionalized developmentally disabled epileptic patients found recurrence of seizures in 26 patients. Predictors for a seizure-free state off medication included few documented seizures in lifetime, no gross neurological abnormalities, and persistently normal electroencephalograms.…

Five responses to Alvarez (EC 220 238) comment on discontinuation of antiepileptic drugs with mentally retarded patients. (DB)

Discusses the causes of common vestibular disorders and their effects on children and young adults. Illustrated by a personal account. (BB)

Discusses two of the most formidable bioethical challenges over the next decades which relate to disabilities and aging: elders' exercise of autonomy and the just allocation of resources to older patients. Offers suggestions for developing principles for the treatment of elders. (Author/ABL)