PURPOSE The PRISMA study analyzes an innovative coordination-type integrated service delivery (ISD) system developed to improve continuity and increase the effectiveness and efficiency of services, especially for older and disabled populations. The objective of the PRISMA study is to evaluate the effectiveness of this system to improve health, empowerment and satisfaction of frail older people,...

Three million persons under age 65 are entitled to Medicare because of disability. This study examines their Medicare use and mortality. Disabled enrollees had higher health care use and mortality than comparison groups of Medicare's aged enrollees or of the general population under age 65. One type of disabled enrollee, adults disabled as children (over one-half of whom are mentally retarded) ...

Most of the points that apply to dysphasic patients can usefully be remembered when dealing with the mentally handicapped, especially the following. (1) Use simple sentences, but do not "talk down." (2) Put instructions in writing; there will usually be someone in the patient's environment who can read. (3) Both truculence and shyness are often due to being in an unfamiliar environment, so putt...

ren are given to illustrate a number of the conditions that may lead to this delay. Methods of trying to help children with particular disabilities are described, such as those for the deaf child, the emotionally disturbed child, the brain damaged and physically handicapped child, and the child who stammers. The work of a school for multiply handicapped children is reviewed, with particular ref...

Sterilization of mentally handicapped individuals occurs today despite little consensus in the medical community as to when sterilization is appropriate (Zurawin & Paransky, 2003). In addition, each state has different laws regarding sterilization of the mentally handicapped. Thus, nurses and nurse practitioners must navigate the complex social issues and legal uncertainties related to steriliz...

This article draws upon an extensive case management literature in order to integrate a number of key concepts and findings that must be considered by those responsible for the planning, administration, and provision of effective community care to the chronically mentally disabled. A discussion of the reasons for the current popularity of the case management concept within human services is fol...

The main purposes of the present analysis were to describe the causes of intellectual disability (ID) and examine its overtime change from 2000 to 2007 in Taiwan. Data of the present study mainly come from the public web-access information which collected by the Department of Statistics, Ministry of the Interiors, Taipei, Taiwan. Data were obtained from two ways of 2000-2007 national data: (1) ...

In spite of the legal framework intended for promotion and protection rights disabled, such persons are still facing significant difficulties in labour market. Intellectually disabled a particularly difficult position, primarily due to negative perceptions held by citizenry which stem from lack knowledge information about their potentials. We conducted research order determine most prevalent ob...

We previously suggested in the in vitro mouse jejunum that when the primary epithelial barrier on the villi was largely disabled, a secondary mucosal barrier substitutes for the primary one. This study showed that the mucosal Ca(2+) removal did not further deteriorate the histology but increased transmural conductance and lucifer yellow flux, and decreased forskolin-induced potential difference...

Saint Dymphna, whose memory is celebrated on the 15th May, is one of the least familiar of all the saints; and yet the scene ?f her martyrdom is known by name to psychiatrists all over the world. On this day in Gheel, a small village in the moorland district called the Kampenland, some 25 miles from Antwerp, there are processions and public festivities; special services are held in the church w...