PURPOSE:  The study aims to explore the sources of stress in American college students who had been treated for depression and to discern their coping mechanisms. ORGANIZING FRAMEWORK:  A phenomenological approach using Seidman's guide to in‐depth qualitative interviews using a three‐part approach was used in the study. METHOD:  Online in‐depth interviews utilizing e‐mail with asynchronous communication were used. FINDINGS:  Sources of stress included roommate issues, academic problems, financial and career concerns, and pressure from family. Exercise, talking to friends, self‐talk, deep breathing, journaling, marijuana use, and listening to music were common coping mechanisms. CONCLUSIONS:  College students who have been treated for depression are under increasing stress today from a variety of sources. Nonmedical methods of coping were often cited as more effective than medication therapy.

The patterns of incidence and mortality of testicular cancer in the United States indicate substantial differences by age, race, time period, and geographical region. An epidemic increase over time in the risk of testicular cancer is noted for young men aged 15-44, with the most recent birth cohorts showing the greatest rate of increase. Indeed, some of the evidence suggests the possibility of two separate increases, one apparent from at least the late 1930's through the late 1950's and the second appearing in the late 1970's. The incidence data for blacks also show a young adult peak, even though the rates for whites are four to five times higher than for blacks at all ages except early childhood. Mortality rates for older men consistently declined over the 30-year period, while rates for younger men showed a dramatic drop only for the most recent time period. Aetiological factors yet to be determined may be responsible for the increasing incidence of testicular cancer in young adults. Survival factors appear to explain the age-specific differences between the incidence and mortality curves over time.

A case-history study of drug-induced liver disorders requiring hospitalization was carried out at the Group Health Cooperative of Puget Sound, a health maintenance organization with about 280,000 members, for the five-year period from January 1, 1977 to December 31, 1981. During this time, there were 12 instances of hospitalization for liver disorders judged to be probably (nine cases) or possibly (three cases) attributable to outpatient drug ingestion (other than antitumor agents). The rate was on the order of one per 100,000 person-years at risk. Drugs implicated as probable causes were ampicillin (two cases), carbamazepine (one case), erythromycin (one case), methyldopa (one case), sulfasalazine (one case), quinidine (one case), trimethoprim/sulfamethoxazole (one case), and multiple drugs (one case).

Students appreciated the family members' response, the importance of one's cultural views on death and dying, and the emotional impact of nursing care in these situations.