Discusses recent guidelines on hypertension from the National Heart, Lung, and Blood Institute and details the latest management protocols for patients with high blood pressure. The article helps physicians interpret the guidelines for treating active patients, highlighting diagnosis, step care revision, pharmacology, and sports participation…

The predictive power of the short-form Wechsler Adult Intelligence Scale of P. Satz and S. Mogel to provide equivalent information about IQ scores and age-corrected scale scores was not differentially affected by the side of the lesion for 63 patients with brain tumors. (SLD)

Essential hypertension is diagnosed with increasing frequency in children and adolescents. Studies indicate exercise can be a clinically useful treatment, though strenuous exercise may be contraindicated for some. The article discusses the physician's role in diagnosis, nonpharmacologic interventions, exercise safety and effectiveness, and…

This study compared 187 patients discharged from a Veterans Administration hospital rehabilitation unit with 215 discharges that occurred following implementation of a prospective payment system. There were no significant differences in demographics, self-care ability, or readmissions. Length of stay and referrals for home health care decreased,…

A unit on informed consent for first-year osteopathy students consists of pre- and posttests, a lecture, readings, small-group discussion, a model videotaped interview, and students' videotaped interviews with a simulated patient. Students were most successful in establishing patient rapport and discussion, least successful in conflict resolution…

Results from an outcome study of 50 adolescents with behavioral and emotional problems in a partial hospitalization program reflect parental involvement during the treatment process. High parental involvement is related to greater improvement in school and home functioning, reduced rehospitalization, and reduced pathology and problem severity…

The expertise of rehabilitation teachers and diabetes nurse educators can complement each other in components of diabetes management for people who have become visually impaired. The role of each professional involves education; integration of diabetes self-management into a comprehensive rehabilitation program; nutrition; exercise; medication,…

Medical students (N=284) from four Northeastern medical schools interacted with standardized patients, then were given a free-response form (blank form for writing diagnostic impressions) and then they completed a cued-response form, which listed a series of diagnoses generated by the case author. The patients also completed a checklist. (MLW)

The extent that order effects in multiple-station clinical examinations are prevalent is addressed and an analysis of individual student score profiles pertaining to order effects is included. A clinical skills examination using standardized patients was administered to 157 medical students at the University of Illinois College of Medicine at…

A seminar designed to teach the principles of psychiatric history-taking, diagnosis, and management to first-year residents was found to be an effective format. Further research into the effectiveness of current educational models is recommended. (Author/MSE)

This article describes the structure, content, and functions of a specialized adaptive diabetes education program in a large community-based blindness rehabilitation agency in Cleveland, Ohio. The program emphasizes helping clients learn diabetes self-care skills and adjust emotionally to their situation. (Author/DB)

Studied the use of a problem-posing model in health education. The model based on the ideas of Paulo Freire is presented. Four innovative experiences of teaching-learning in environmental and occupational health and patient education are reported. Notes that the problem-posing model has the capability to transform health-education practice.…

Describes basic counseling skills for use in patient education. A study involving activity levels in back patients is described. Variability in patient activity due to random influences in the patient's life is contrasted with maintenance of basics over time. The single-case method is used for evaluating counseling skills. (Author/EMK)

Compared accuracy of an actuarial procedure for the prediction of community violence by patients with mental illnesses to accuracy of clinicians' concern ratings of patient violence. Data came from a study of 357 pairs of patients seen in a psychiatric emergency room. Actuarial predictions based only on patients' histories of violence were more…

Elements of the twentieth century care facility of state origin are enumerated as the reader hopefully gets some idea of the social milieu or ethos of that period and the management profile thought to be proper and expeditious for unfortunate, homeless and poorly adjusted citizens. The life of staff and patients within these state sponsored…