The problem-oriented medical record, developed by Lawrence L. Weed, M.D., involves an interactive computer system and has been operational on two wards at the University Hospital in Burlington, Vermont, a teaching hospital. The Problem-Oriented Medical Information System (PROMIS) consists of terminals that feed into the central memory units; the…

A study was made of the relative merits of recall and learning in providing older persons with a choice of activity. Data were collected on the knitting performance of 73 subjects. A form of pretest-posttest experimental design with nine subgroups was used. Subjects were grouped by age (45-65 versus 65 and over) experience with knitting (no…

A slow-scan video system, using regular telephone lines that interconnect the local hospital, five remote communities, and two teaching hospitals in Toronto, was originally used to assist medical diagnosis in a remote area of Ontario. The system is now being used for additional purposes including continuing medical education and medical and…

A cancer attitude survey is analyzed that was administered to residents and faculty physicians in the departments of Family Medicine, Internal Medicine, and Human Oncology at the University of Wisconsin. Categories surveyed include opinions about the benefits of prevention, risk management, early detection and screening, treatment and care, and…

Reports findings of intensive, semistructured interviews with 11 confidants to persons with AIDS (PWAs). AIDS has a devastating impact on the social support networks of those most closely involved with PWAs. Numerous changes were observed in the confidants' supportive resources, network structure, and functioning. (Author/FC)

Evaluated a practice-site learning experience for 55 doctoral pharmacy students, using student logs and written summaries and pre- and post-experience surveys concerning student awareness, understanding, and mastery of desired outcomes. Students indicated increased awareness and understanding of desired outcomes, and found patient interaction…

Reviews studies of clinicians' information-seeking behavior and discusses various library programs and services designed to deliver information to clinicians. Topics discussed include LATCH (Literature Attached to the Chart) services; enduser searching; quality filtering and critical appraisal; clinical information systems; and the impact of the…

The San Diego (California) school-based Project for Attention-Related Disorders helped improve access to care and increase treatment for children with attentional problems. Of 110 intervention children followed for 3 years, 60-70% showed improvement after enrollment, evaluation, and treatment. Medical and nonmedical interventions were helpful in…

There is limited empirical evidence on effective HIV/AIDS prevention for Black MSM. Few studies have been undertaken to examine the specific ways in which Black MSM construct their health and help-seeking practices relative to HIV/AIDS. In this article I examine the role of patients and providers as a collaborative unit to bring about productive…

The Council of Medical Specialty Societies (CMSS) recognizes the need for continuing medical education (CME) reform and intends to be actively engaged in that process. While recognizing that CME reform must involve many organizations, the CMSS and particularly the 23 societies that make up the CMSS are in a position to affect many of the needed…

The decision for psychiatric hospitalization after deliberate self-poisoning (DSP) is not well understood. This study, a longitudinal cohort study of 3,148 consecutive DSP patients found 920 (29.2%) subjects were referred for psychiatric hospitalization, 576 (18.3%) on involuntary basis. A logistic regression analysis showed increased risk for:…

This paper reports findings from a qualitative investigation into the relationship between physical activity and mental health from the experiences of participants on exercise referral schemes. A grounded theory methodology was adopted which used focus groups and semi-structured interviews with participants from three exercise referral schemes in…

Purpose: This article reviews the effectiveness of a new training program for improving nursing staffs' detection of depression within long-term care facilities. The course was designed to increase recognition of the Minimal Data Set (MDS) Mood Trigger items, to be brief, and to rely on images rather than didactics. Design and Methods: This study…

In this article, the story of 11 male psychotherapeutic patients with low self-esteem is told within the context of the research process. The literature suggests that the concept of "self-esteem" has a significant influence on the way an individual experiences his/her world. Therefore, the meaning that the psychotherapeutic patients…

At the University of Missouri-Columbia School of Medicine, we developed a voluntary senior-mentor program, the Senior Teacher Educator Partnership (STEP), for first- and second-year medical students. Using qualitative research methods, we examined the impact of STEP on medical students' attitudes and then assessed the congruence of what is learned…