This article extracts principles from two Surgeon General reports, "Closing the Gap: A National Blueprint to Improve the Health of Persons with Mental Retardation" (2002) and "Call to Action to Improve the Health and Wellness of Persons with Disabilities" (2005), and combines them with the Objectives from "Chapter 6 of Healthy People 2010" to…

Objective: Community-based health promotion intervention for improving unhygienic disposal of children's faeces was conducted in a rural area of Nigeria. Setting: The study was conducted in Ife South Local Government area of Osun State, Nigeria. Design: The study was conducted in 10 randomly selected rural villages: five control and five active.…

Although depression is strongly associated with suicide attempts and suicide deaths, most depressed youth do not make an attempt, indicating the need to identify additional risk factors. We examined suicide attempts among 451 depressed primary care patients, 13 to 21 years of age. In bivariate analyses, youth classified as suicide attempters…

Context: Despite screening for colorectal cancer, mortality in the United States remains substantial. In northern New England, little is known about predictors of stage at diagnosis, an important determinant of survival and mortality. Purpose: The objective of this study was to identify predictors of late stage at diagnosis for colorectal cancer…

Context: To help meet rural Appalachian needs, and with initial support from the W.K. Kellogg Foundation, East Tennessee State University partnered with 2 counties to implement a health curriculum for nursing, public health, and medical students in a rural setting. The Community Partnerships Program 3-year longitudinal curriculum included…

Context: Recent bioterrorist attacks have highlighted the critical need for health care organizations to prepare for future threats. Yet, relatively little attention has been paid to the mental health needs of rural communities in the wake of such events. A critical aspect of bioterrorism is emphasis on generating fear and uncertainty, thereby…

Objective: To explore in a multiethnic primary care population the impact of child gender and of race/ethnicity on parent and child reports of school-age anxiety and on the factor structure of the Screen for Childhood Anxiety and Related Emotional Disorders (SCARED). Method: A consecutive sample of 515 children (8 to less than 13 years) and their…

Evaluation of the efficacy of a medical intervention requires measurements of both its benefits and risks as compared to those of alternative forms of management. The requisite measurements are more difficult to make than this description suggests, and the accumulation of information is inhibited by certain characteristics of our pattern of health…

Expresses the view that health is an individual moral obligation, and that the health of individuals will not be improved via a national health insurance program. (SL)

The newborn nursery provides an ideal setting for introducing basic concepts in primary care. In the University of California, Irvine, Medical Center nursery, a multidisciplinary team considers the many physiologic adjustments a newborn must undergo to adapt successfully to its environment. (Author/MLW)

Aspects of the development of medical and nursing education make primary health care just one of medicine's specialities when it is actually the essence of the nursing profession. The author contends that primary care as an academic discipline within nursing is really the general discipline and should be so conceptualized. (MF)

The role of the nurse practitioner in primary health care extends to diagnosis and treatment of patients. (JMF)

James Madison University's undergraduate course, Interdisciplinary Rural Primary Health Care, addresses the shortage of professionals in rural areas, increases student awareness of the needs of rural populations, and helps students try out career choices in this area. (SK)

Client visits to an academic community nursing center (n=25,495) were coded and analyzed. Results show expansion of nursing practice and services, strong case management, and management of illness care. The usefulness of computerized clinical documentation system and of the Lundeen conceptional model of community nursing care was demonstrated.…

Reports survey results of general practice (GP) counselors and primary health care teams concerning role and contribution of counselors in primary care. Identified principal tasks of GP counselors, their relationship with the host team, and some organizational and professional dilemmas which need to be addressed. A great deal of variation was…