The authors designed a scale, the Massachusetts Adolescent Level of Functioning Scale, for measuring the behavior of emotionally disturbed adolescents. Among the many uses of the scale are specifying a standard intervention for any given problem indicator and measuring the outcome. A pilot test demonstrated that the scale has broad applications for determining cost-effectiveness of programs and for improving service delivery.

Adolescent↗

PubMedDate not supplied

Ocular involvement in leukemia--a study of 288 cases.

Two hundred and eighty-eight newly diagnosed cases of leukemia (164 males and 124 females, 167 adults and 121 children, 245 acute and 43 chronic, 151 myeloid and 137 lymphoid), aged between 6 weeks and 78 years, were examined for eye changes in the oncology wards within 2 days of diagnosis before starting chemotherapy. Ocular lesions were present in 102 patients (35.4%)--retinal vascular changes in 91 (31.6%); infiltration of ocular tissues in 5 (1.7%), and neuro-ophthalmic signs in 6 (2.1%) cases. Some of the patients had more than one ocular lesion in one or both eyes. The eye changes were seen more often in adults (49.1%) than in children (16.5%), and in myeloid leukemia (41.0%) than in lymphoid leukemia (29.2%). Eye symptoms were present in 29 patients (10%) at initial diagnosis. Since ocular lesions were detected in many asymptomatic leukemia patients, eye examination should be included as a part of routine evaluation at initial diagnosis in these patients.

Adolescent↗

PubMedDate not supplied

Immunophenotyping pediatric leukemias in Kelantan, Malaysia.

This study reviewed the immunophenotyping results of children with acute leukemia in Kelantan, Malaysia. In the 3.5-year period (January 1994 to June 1997), 45 cases were identified. All children were under the age of 12 years and the predominant ethnic group was Malay. Thirty-six cases (80%) were acute lymphoblastic leukemia (ALL) and 9 cases (20%) were acute myeloblastic leukemia (AML). Of the ALL cases, 3% were of B-cell and 22% of T-cell origin, and 96% of the B-lineage ALL were CD10 positive. All the AML cases expressed CD33 and 78% were positive for CD13. The incidence of mixed-lineage leukemias was 13.8% for My+ ALL and 11.1% for Ly+ AML.

Bone Marrow Cells↗

PubMedDate not supplied

Management of a diabetic foot ulcer using larval therapy.

Diabetic foot ulcers should be treated to maintain health status, improve quality of life, reduce the number of amputations and lower costs. Many centres that treat diabetic foot ulcers use a multidisciplinary team approach, which comprises medical staff, nurses, podiatrists and an orthotist. At the Manchester Diabetes Centre, larval therapy has been used for several years to debride sloughy diabetic foot ulcers. This case history demonstrates the adverse effects of diabetes on feet, and the multidisciplinary team's contribution to successful treatment and healing of a complex foot lesion.

Aged↗

PubMedDate not supplied

Caring for the patient with TB (continuing education credit).

Explore the source record for details and available documents.

Antitubercular Agents↗

PubMedDate not supplied

Client attachment in learning disabilities nurse education.

This paper describes the method by which the learning disabilities branch programme in Southampton has been adapted to reflect educational and practical changes. Emphasis is placed on integrating theory and practice through giving students extended contact with a caseload of patients with the support of a tutor and mentors. The authors report on the initial difficulties and benefits resulting from the new programme.

Community Health Nursing↗