The mother of a five-year-old with partial growth hormone deficiency recounts how she and her son attempted to deal with the physical pain and emotional upheaval caused by the regular injections of human growth hormones she had to administer to the child. (CB)

Used case studies from study of judicial decision making on guardianship for elderly persons to describe four decision making roles: family, attorneys, physicians, and judges. Focused on conflicting roles of guardian ad litem and interface between legal and medical standards of competency. Found societal attitudes and beliefs about aging had great…

Conducted community survey (N=396) which revealed that adequate financial coverage for health care for low-income urban Black elderly has been prevented by out-of-pocket medical expenses. Found that, although health care facilities were regularly available, the lack of regular physicians' services at the health care location was a major cause of…

An overview is provided of the nature of students who have unique educational needs confounded by their extreme medical needs. The article defines "medically fragile" discusses medically fragile students' educational options in the form of placement in the hospital, home, special class, or regular class; and describes the teacher's role.…

Important aspects of legislation establishing the right of individuals to health protection and health promotion are highlighted. Examples from the Federal Republic of Germany are used to illustrate efforts to implement systematic measures for the prevention, early detection, early treatment, and medical rehabilitation of disabilities. (Author/JDD)

Discussions with physicians at Loyola University and the University of Chicago medical schools about faculty practice plans are described. Interviews disclosed a desire for professional goals to be in balance with the institution's goals. (Author/MLW)

Explored sensitizing effects of pretreatment assessment on posttreatment chemotherapy nausea and vomiting and interactive effects of personal dispositions for information seeking. Oncology patients rated side effects experienced previously (experimental condition), or parking conditions (control). Posttreatment, nausea of experimentals was…

Examines the coping strategies adopted by 50 infertile men and women. All interviewed had sought medical help, and many became knowledgeable about reproduction and infertility. Redefining the problem and managing negative concepts about infertility were other coping strategies. Seeking social support, positive identities, and other ways of meeting…

Discusses the rising trend supporting for-profit hospitals. Compares for-profit and not-for-profit hospitals in regards to hospital costs, quality of care, care for the poor, education and research, and the role of the physician. (TW)

The author focuses on linkage strategies designed to help the elderly manage at home. This research centers on developments in Great Britain, Norway, Sweden, and West Germany. The author examines the dimensions of the problem, policy and organizational models, program and case models, and planning for improved coordination. (CT)

Responds to the American Nurses Association proposed requirement of a baccalaureate degree (BSN) for entry into registered nursing practice, defending associate degree nursing (ADN) programs and the preparation and clinical skills of ADN graduates, reviewing ADN employment patterns, and highlighting the competencies shared by ADN and BSN…

Examines three cases in which nurses were relatively unsuccessful in improving the qualities of maternal caregiving. Emphasis is given to understanding psychological and social factors within the family that interfered with the nurses' efforts to promote positive parental caregiving. (Author/AS)

An educational program for medical and surgical house staffs and for medical students designed to reduce unneeded orders for low cost, high volume ancillary and nursing services is discussed. The program components include lectures, medical record audits and reviews, and group feedback in the form of cost summaries. (Author/MLW)

The ways to increase the funding base of a family medicine residency program through the appropriate use of procedures related to patient care and the provisions of service are discussed. Areas for potential expansion in training programs and financial staffing strategies to increase revenues are described. (Author/MLW)

It is important that medical residents be able to diagnose alcoholism prior to end-stage disease and organ damage. To assess their diagnostic ability, a survey was conducted of patients from the Johns Hopkins Hospital. The results demonstrated an underdiagnosis of alcoholism. (Author/MLW)