Law firm analysis which reviews developments in Indian law, discusses holdings and implications of some important Supreme Court decisions (Boldt Case, Yakima Public Law 280 Case, Blackbird Bend Case), analyzes litigation trends which appear to be developing, and comments on the future conduct of Indian litigation. (DS)

To meet growing health care industry manpower needs, colleges and universities are revamping their curricula, but are still turning down many students. Few black institutions offer health occupations programs, and adding new ones is financially difficult. Adjusting competency and licensing requirements to meet new needs is also difficult when…

Literature review addresses the status of farm families; farm stresses and their effects; dysfunctional family relationships; and the unique attitudes, behaviors, and perceptions of rural culture toward social service intervention. By implementing coordinated service programs and initiating new legislation that addresses rural health care issues,…

The Wellness Mobile transports medical supplies, equipment, informational materials, and staff to rural Saskatchewan communities to assist them in developing wellness programs that stress disease prevention. Staff from the Wellness Mobile offer health-risk screening and appraisal to community members and work with local practitioners and schools…

A project to promote rural men's health through diabetes education and screening in the workplace involved 446 men aged 40-65 in Western Australia. Of the 287 men identified at high risk of developing diabetes and referred to their general practitioner, 76 percent visited their physician. However, physician's advice on lifestyle changes was…

Data on 3,449 children (ages 0-3) indicate children at risk because of low income, minority status, or lack of insurance were 3 to 12 times more likely to be without a usual source of care and 2 to 30 times more likely to have unmet needs for health care. (Contains references.) (Author/CR)

Remediation of at-risk senior optometry students is discussed, looking at possible reasons for remediation need and the design of a program to effectively address students' needs, including program design, student evaluation/placement, development of specific skills, and supervision. The South Boston Community Health Center (Massachusetts) program…

This article proposes that in order for academic medical centers to compete with successful group practices, health maintenance organizations, and integrated health service networks, they must form clinical faculty into a competitive medical group with more price-competitive and user-friendly services, restructure clinical training to be more…

Effects of the Human Immunodeficiency Virus (HIV) epidemic on school communities were examined. Surveys of directors of school health services in 100 large school districts indicated school policies continue to evolve and schools accept increasing responsibility for helping chronically ill children and their families. There is inconsistent…

The Ohio State University School of Optometry affiliation with four Veterans Administration (VA) health care facilities is characterized by a central governing committee, regular faculty appointments for all participating VA staff, substantial interaction with each site, strong orientation for rotating senior optometry students, and joint…

Discusses health care services received by pregnant women and infants, exploring the ways that these services affect child health outcomes, specifically low birth weight and infant mortality rate. Programs that offer the greatest potential to improve newborn survival with the least investment should have high priority. (SLD)

Eight broad and significant trends in the health care environment are examined, including trends in demography, the economy, epidemiology, patterns of finance and delivery, science and technology, values, and higher education governance and institutional planning. Strategic accommodation of the changes is seen as necessary as the profession moves…

Analyzes why the current complex of social institutions and systems does not effectively serve poor children, highlighting the lack of early or preventative help for families and inappropriate organizational structure. Offers a series of five principles for a new foundation based on prevention, comprehensiveness, continuity, and accountability.…

Describes the Decker Family Development Center (DFDC) in Barberton (Ohio), while relating the difference that the DFDC's services has made to one poor family. Recounts the DFDC's establishment, funding, and current services (adult education, counseling for parents and children, and several types of child care services). (JB)

A discussion of the implications of health care reform for academic health centers (a complex of institutions which educate health professionals) looks at problems in the current system, the role of academic health centers in the current system, financial pressures, revenue sources other than patient care, impact on health research, and human…