A survey of pediatricians and special education teachers comparing reponses on four variables relating to hyperactivity diagnoses, etiology, treatments, and labels attempts to determine the intergroup and intragroup agreement on this subject. (JMF)

Because rheumatic fever is a potentially serious complication of a streptococcal sore throat which can lead to permanent heart disease, this article advocates the expansion of school health services in medically underserved areas. (JMF)

Two theories of hospital liability--respondeat superior and corporate negligence and the legal intricacies of the physician-hospital-patient relationship--that affect hospital liability are examined. The impact of Darling vs Charleston Memorial Hospital as a medicolegal precedent is emphasized. (BH)

Reviewing literature on the psychological impact of spinal cord injury suggests: (a) depression may not be a precondition for injury adjustment; (b) many persons sustaining cord injury may have experienced psychological disruption prior to injury; and (c) indexes of rehabilitation success need to be developed for the spinal cord injured. (Author)

This commentary reviews the history and ideology of nondisclosure, considers the realities of modern treatment and record-keeping, and describes the contemporary legal dilemma in this context. Model legislation is proposed to provide patients a property right of direct access to their records. (LBH)

Vaginismus includes both physical as well as psychological aspects that make vaginal penetration extremely painful if not altogether impossible. Aside from history, diagnosis rests on the physical examination. The most important considerations in therapy seem to be the patient's understanding of the problem and flexibility of approach. (Author)

Examines the patient agency concept from a rhetorical perspective in lay/professional medical discourse relating to diabetes care. Shows that patient agency is related to patient compliance in the language of biomedicine. Finds that, in managed care, tension is evident between the trend toward greater patient agency and the constraints of…

Canonical correlation techniques are used to explore outcomes for 212 clients following psychosocial rehabilitation in vocational and residential programs. The usefulness of canonical correlation in program evaluation is explored, and the impact of strong predictor variables on longitudinal program research is discussed. (SLD)

A longitudinal program evaluation approach used in the Vermont system of care for children and adolescents is described. The method focuses on movement between residential placements and compares system functioning to service system values using a person-level longitudinal database. This methodology can be useful in a number of fields. (SLD)

Provides a historical overview of a multidisciplinary training component that has operated at the University of Southern Mississippi since 1979. Shares lessons learned from this experience, such as its impact on students' training and careers, and makes recommendations for the future training of counseling psychologists who seek health-related…

This issue includes 18 theme articles that examine clinical care, conditions, and practice as they relate to older adults. It contains articles on the following: men's and women's health, depression, dementia, hypertension, incontinence, bone pain, infections, preventive medicine, geriatric medicine, health care delivery, managed care, long-term…

Examination of the prevalence of epilepsy and health service utilization in 1,595 people with intellectual disabilities in Wales found 16.1% had epilepsy. Standardized activity ratios were 3.07, 2.03, and 3.09 for inpatients, outpatients, and accident and emergency, respectively. Patients with intellectual disability and co-existing epilepsy used…

A total of 200 patients were interviewed at 2 out-patient settings to quantify the patients' perspectives on their illness by measuring their requests for help. Results showed specific requests were made by most patients that focused either on the problem and/or the treatment. (GLR)

Speech-language pathologists working with infants or toddlers with feeding problems should obtain a feeding history, conduct an assessment of feeding practices, set appropriate preliminary and long-range goals, and investigate treatment options and appropriate feeding techniques. Feeding techniques for premature, neurologically impaired, Down…