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Providing a primary care medical home for children and youth with cerebral palsy.

Children and youth with cerebral palsy present pediatricians with complex diagnostic and therapeutic challenges. In most instances, care also requires communication and comanagement with pediatric subspecialists and pediatric surgical specialists, therapists, and community developmental and educational teams. The importance of family resilience to the patient’s well-being broadens the ecologic scope of care, which highlights the […]

Perceptions of HIV/AIDS by deaf gay men.

Deaf gay men represent a subpopulation of the gay male community at particularly high risk for HIV/AIDS due to numerous barriers including language, stigma, and inequitable access to health services. The participants in this exploratory pilot study (N = 5) struggled with the ongoing threat of HIV infection and the pervasive nature of AIDS-related debilitation, […]

Evaluating community partnerships and coalitions with practitioners in mind.

Evaluation plays a key role in developing and sustaining community partnerships and coalitions. We recommend focusing on three levels of coalition evaluation that measure (a) processes that sustain and renew coalition infrastructure and function; (b) programs intended to meet target activities, or those that work directly toward the partnership’s goals; and (c) changes in health […]

Improvements in physical fitness in adults with Down syndrome.

The effectiveness of an exercise training program for 52 adults with Down syndrome (M age = 39.4 years) was evaluated. The training program consisted of cardiovascular (30 minutes) and strength exercise (15 minutes) for 12 weeks, 3 days a week for 45-minutes per session. Compared to control subjects, the training group improved significantly in cardiovascular […]

Do recent data from the Seychelles Islands alter the conclusions of the NRC Report on the toxicological effects of methylmercury?

In 2000, the National Research Council (NRC), an arm of the National Academy of Sciences, released a report entitled, “Toxicological Effects of Methylmercury.” The overall conclusion of that report was that, at levels of exposure in some fish- and marine mammal-consuming communities (including those in the Faroe Islands and New Zealand), subtle but significant adverse […]

Gender Differences in service connection for PTSD.

BACKGROUND: Mentally ill female veterans obtain a smaller proportion of their care from Department of Veterans Affairs (VA) facilities than mentally ill male veterans do, possibly because women are less likely than men to be service connected for psychiatric disabilities. “Service connected” veterans have documented, compensative conditions related to or aggravated by military service, and […]

Exercise Research: Arthritis

A comparison of various therapeutic exercises on the functional status of patients with knee osteoarthritis. Huang MH, Lin YS, Yang RC, Lee CL. Department of Physical Medicine, Kaohsiung Medical University Hospital, Taiwan. maohuang@ms24.hinet.net Semin Arthritis Rheum. 2003 Jun;32(6):398-406. Objective: To investigate the therapeutic effects of different muscle-strengthening exercises on the functional status of patients with […]

Exercise Research: Aging

Effectiveness of a group exercise program in a long-term care facility: a randomized pilot trial. Baum EE, Jarjoura D, Polen AE, Faur D, Rutecki G. Northeastern Ohio Universities College of Medicine, Affiliated Hospitals at Canton, Canton, Ohio, USA. J Am Med Dir Assoc. 2003 Mar-Apr;4(2):74-80. Objective: The purpose of this pilot was to determine whether […]

Quality of life of adolescents with perceived disabilities.

Objective: To compare the self-perceived quality of life (QoL) of adolescents with and without disabilities. Methods: A school-based survey was conducted with 2801 7th to 12th grade students in a rural area of the United States. The Youth Quality of Life Instrument-Surveillance Module and the Youth Quality of Life Group-Disability Screener were completed. Results: Twenty-one […]

Exercise Research: Exercise Recommendations

Exercise for patients with chronic disease: physician responsibility. Painter P. Department of Physiological Nursing, University of California at San Francisco, Box 0610 UCSF, 2 Koret Way, Room 605C, San Francisco, CA 94143-0610, USA. painter@itsa.ucsf.edu Curr Sports Med Rep. 2003 Jun;2(3):173-80. Patients with chronic disease typically become severely deconditioned, which often leads to physical disability. Every […]