Objective: To replicate and extend P. A. Lichtenberg and colleagues ' (1996) cross-disciplinary intervention to improve physical and mental health among older adults. Participants: 14 depressed older adults (6 treatment, 8 control). Setting: The short-term rehabilitation unit of an urban nursing home. Intervention: Occupational therapists were trained to treat depression using pleasant events and cognitive-behavioral therapies. Outcome Measures: Geriatric Depression Scale, the Short Form-12, and the Multi-Level Assessment Instrument: Activities of Daily Living. Results: No significant group differences were found in physical or mental health. However, more control group members (75%) than treatment group members (33%) were depressed at study completion. Conclusions: The treatment of depressive symptoms can be integrated with a nonmental health treatment modality.
A STUDY of selected types of congenital anomalies was undertaken by the Pennsyl¬ vania Department of Health. The five specific congenital defects selected for study.imperforate anus, omphalocele, tracheo-esophageal fistula, diaphragmatic hernia, and intestinal obstruction.were chosen because they are usually discernible at birth and require im¬ mediate surgery or care to prevent the death of the newborn. Because these anomalies are more readily observed than less obvious defects, such as congenital defects of the circulatory system, they should be reported more completeljr on birth certificates and hospital records. We would thus be able to obtain more accurate counts of the number of these defects, their characteristics, and their frequency of occur¬ rence. By collecting data on these five congenital anomalies using birth and death certificates and hospital records, we could compute the fre¬ quency and rate of occurrence by type for use in program planning, measure the degree of reporting and accuracy of the birth certificate, and compile the characteristics of the newborn and his mother. Methodology The initial step in the project was to collect the basic data by reviewing the birth certificate of each infant born in Pennsylvania in 1962 to ascertain whether one or more of the congenital anomalies selected for study was noted. Death
MUMPS is an integrated language and operating system. It was originally developed in the mid 60s, primarily for the interactive manipulation of text-like, hierachical data found so pervasively in medicine. This paper traces the growth in use of MUMPS. Some of the many medical application for which MUMPS is used are discussed, as are the achievements and goals of the MUMPS Users' Group, particularly in facilitating application transfer. The influence of federal funding upon the growth and use of MUMPS is noted. Of particular importance is the federal support of the MUMPS Development Committee in the standardization of MUMPS, and the MUMPS User's Group in promoting MUMPS information and application exchange.
A study is reported of the ways in which 26 physicians, mostly internists, use the medical record. It was found that the items of greatest importance to the physicians, from the viewpoints of frequency of usage and of occasional interruption of the physician-patient transaction by being absent, were lab-test results, X-ray data, patient history, and previous treatments. The most common general problems cited uith the medical record were incompleteness (named by 38 per cent of the physicians), illegibility (27 per cent), and poor organization of the record (19 per cent).
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