Details of the fourth, fifth, and sixth clinical years' course in preventive and community medicine, introduced at New Zealand's Christchurch Clinical School in 1974, are presented. Topic studies, rotating attachments, preventive medical examinations and ward rounds, simulated disabilities, and conferences are discussed. (LBH)

Mainstreaming of handicapped children who need unique nursing procedures, high caseloads, and decreasing numbers of school nurses have created an environment of potential harm to handicapped children. Educators without adequate training may assume treatment of these children, creating potential for malpractice lawsuits. Revised perceptions of…

As part of a series of reports designed to support the implementation of Proposition 10: The California Children and Families Act and to provide comprehensive and authoritative information on critical issues concerning young children and families in California, this report examines how child health services can be improved to support two related…

Five dental schools were given grants to design and implement a training program for dental students in planning and delivering preventive dental services. These programs are described and compared, and it is concluded that all were generally successful and worthy of continuation. (JSR)

The veterinary curriculum at the LSU School of Veterinary Medicine has developed an undergraduate professional training program in companion animal preventive medicine--a new area of specialization--as a field of clinical practice. Curricula for years three and four are described. (Author/MLW)

Investigates the nature and causes of performance-related injuries among young musicians. Briefly reviews injuries and health problems associated with specific instruments and gives tips for avoiding and treating these. Includes information on related reference works and journal articles. (MJP)

Harvard Medical School's integration of a curriculum on health promotion and disease prevention is described. The case method was used for all teaching in the curriculum. Students worked together in small groups, addressing the issues raised by each case under the direction of faculty preceptors. (Author/MLW)

Discusses the ethical aspects of screening and testing for clinical detection of individuals infected with asymptomatic human immunodeficiency virus (HIV). Careful consideration must be given to individuals' rights, respect for their privacy, and society's obligations to provide needed clinical and social services in translating cautious medical…

Focuses on the immunization status of children aged 19 to 35 months. Recommended immunizations are described and contrasted with the actual status of immunization. In response to unacceptably low levels of immunization among very young children, the government is aiming at 90% immunization by the year 2000. (SLD)

Discusses the development and initial implementation of the "Every Child by Two" project. The project is designed to immunize as many newborn through two-year-old children in the United States as possible against communicable childhood diseases, such as measles, and to create a program to systematically immunize this age group in the…

Ideas for integrating preventive medicine into the undergraduate medical curriculum include options for curricula in quantitative skills, clinical preventive medicine, primary care rotation, community health services, and independent continuing education. Recommendations are based on a guide assessing the effectiveness of 169 types of preventive…

Research has not yet identified the best combination of estrogen replacement, calcium, and exercise for fighting osteoporosis, but clinical experience indicates all are needed to prevent the rapid bone loss that occurs in postmenopausal women. Physicians must encourage women to reduce their risk using all available options. (SM)

Evaluation of the University of South Florida Medical School's new (1990) preventive health requirements for matriculants showed that expensive requirements had the lowest rate of compliance and inexpensive ones, the highest rates. Enforcement measures significantly improved compliance. Cost was seen as a major deterrent to compliance. (Author/DB)

Biomedical, logistic, economic, social, and psychosocial issues related to the successful distribution and use of a vaccine for human immunodeficiency virus (HIV) are reviewed. A mathematical model is introduced as an aid in conceptualizing these issues. The HIV vaccine should be seen as an adjunct to behavioral modification. (SLD)

Recently states have increasingly turned to managed care arrangements to finance and deliver health services to Medicaid beneficiaries. As this trend continues, states should carefully monitor changes in program costs and quality and implications for delivery of pediatric services and health outcomes for children. (SLD)