Fewer hospitalizations and decreased lengths of stay in the hospital have resulted in an increased need for extensive support services and continuing care planning for elderly people in primary care. Early identification of elderly patients needing community and hospital nonmedical services is necessary so that timely appropriate services can be delivered. This study addresses the issue of whether a standardized health-related quality of life questionnaire, the SF-36, can be used independently as a screen predicting primary care elderly patients' needs for social work assessment. In addition, the question of what scales on the SF-36 a social worker would use to screen patients in need of assessment is explored.
This paper presents data from a one‐year follow‐up of 37 normal‐weight bulimic patients who presented at an outpatient eating disorders clinic. Eating attitudes and behavior (EAT), social adjustment (SAS‐R), and psychological symptoms (Hopkins Symptoms Checklist) were assessed at evaluation and follow‐up. One‐half of the patients engaged in psychological treatment and the other half chose either no treatment or only medical/nutritional follow‐up. Treatment was associated with a decrease in disturbed eating attitudes, depression and somatic concerns. Social maladjustment persisted despite treatment.
Forty patients received orthotopic liver transplants at Massachusetts General Hospital between May 21, 1983 and July 21, 1987 (mean follow-up: 64 weeks, range: 2–186 weeks). Twenty-seven patients (68%) were living as of July 21. Among survivors, 15 (56%) returned to full activity; and 7 (26 %) were partially rehabilitated. Five patients were rehospitalized or recently transplanted. Successful outcome occurred most often among those who came to transplant early in the course of illness. All adults experienced preoperative anxiety and 17 (50%) of adults had some degree of hepatic encephalopathy. Following operation, 8 adults (24%) were referred for treatment of depressive disorder typically associated with deterioration of hepatic status, infectious complication or recurrence of cancer. Medical noncompliance required psychiatric intervention in 3 cases. Other psychiatric events included postoperative pain, anxiety and organic brain syndrome. Liver transplantation is an increasingly successful intervention of major scope and affords meaningful survival to many patients whose liver disease would allow less than a year of life. Psychiatric consultation is an essential support to the transplant program.
This study evaluates the effectiveness of a two‐year educational intervention/or low‐income, minority children. The superior performance by the experimental group on achievement measures administered at the end of both kindergarten and first grade clearly indicates that academic success is facilitated by early educational intervention.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.