New Beginnings is a collaborative effort involving the city and county of San Diego, the school district, and the San Diego Housing Commission. The project's Center for Children and Families provides about 200 families with comprehensive family service planning, counseling, prevention, referral, and health education as needed. Success demands…

Compared cost effectiveness of an in-hospital intervention approach for medically fragile infants and a traditional approach of postdischarge referrals. Found that the in-hospital approach resulted in five times as many hours of intervention services for infants and cost three times as much as the referral approach, with few differences in effects…

Reviews the prevalence, natural history, causes, impact on performance, diagnosis, and treatment of iron deficiency in adolescent and young adult athletes. All athletes should be screened and treated. The best diagnosis involves determining serum ferritin and hemoglobin levels. Treatment requires therapeutic doses of oral ferrous iron for several…

This research review finds that children with leukemia exhibit deficits in cognitive and neuropsychological functioning following either central nervous system irradiation or intrathecal chemotherapy. Implications of increased life expectancies for school reentry and the need for special education services are addressed. (DB)

A survey of pharmaceutical manufacturing executives (n=52) and pharmacy educators (n=15) found both groups expect some form of managed health care plan to cover 45 percent of outpatient prescriptions by 1994, 70 percent in 1999. They agreed pharmacists will need more business education and technicians will play an increasing role in dispensing.…

Describes the development and implementation of a senior high school biology lesson concerned with organ transplantation. Discusses the teacher's rationale and techniques for using controversial issues in science teaching. (Contains 18 references.) (Author/WRM)

The past 2 decades have shown that HIV prevention can work. Evidence worldwide indicates that concerted national HIV prevention efforts have resulted in maintenance of low seroprevalence rates or decline in rates where they would have otherwise risen. The best efforts are based on sound scientific research. Advances in, challenges to, and future…

The sociocultural aspects of infertility among members of the matrilineal ethnic group Macua are studied. Strategies applied by infertile women, the use of traditional healers versus modern hospital, and explanations given for infertility are presented. Solutions attempted, social consequences of infertility, and recommendations for culturally…

Explains the causes and symptoms of four chronic diseases (asthma, diabetes, epilepsy, and sickle cell anemia) that afflict large numbers of children, and discusses specific classroom medical procedures that teachers can use to help children with these diseases. Also provides suggestions for working with parents of chronically ill children and…

Health care practices continue to evolve with technological advances integrating computer applications and patient information management into telemedicine systems. Telemedicine can be broadly defined as the use of information technology to provide patient care and share clinical information from one geographic location to another. Telemedicine…

Research demonstrates that injection drug users with HIV and/or AIDS have difficulty adhering to complex regimens of HIV medications. Because of the risk of increased viral resistance associated with irregular medication adherence, there is considerable clinical need to assist clients who abuse substances in taking their antiretroviral medications…

Latinos in the United States have been disproportionately affected by the intersecting epidemics of HIV and sexually transmitted diseases. Using a community-based participatory research approach to problem identification, the objective of this study is to explore sociocultural determinants of HIV/AIDS risk and service use among immigrant Latino…

Many older adults are in need of care. Therefore, older people would generally benefit from the use of caring services, notably including home care, residential care, nursing, and medical services. The contributory factors underlying caring services tend to be a caring perspective that aspires to sustain older people's social relationships and…

Objective: To review the past 10 years of published research on human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) in the United States, including psychosocial and psychiatric risk factors, epidemiology, biology, neurocognitive and psychiatric sequelae, disclosure issues, prevention strategies, and biological and behavioral…

Universal newborn screening programs for metabolic disorders are typically described as a triumph of medicine and public policy in the US over the last 50 years. Advances in science and technology, including the Human Genome Project, offer the opportunity to expand universal newborn screening programs to include many additional metabolic and…