Predictive medicine. XI. Prognostic levels.
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EPSDT, or any similar national health program, will spawn multiple records on millions of children and adults. Multiple providers will need to share more data to provide quality care. Maintaining privacy of child/parent records, avoiding the dangers of labeling, controlling the life of records and insuring their appropriate demise exacerbate record maintenance problems. Principles of record-keeping confidentiality are proposed.
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This multiphasic study used four independent sources of information to investigate depression and depressive symptoms in a sample of preschool-age children from a general population. The study provides evidence that major depressive disorder exists in preschoolers and that stressful life events are associated with depressive symptoms; it underscores the importance of the teacher's report for identifying the presence of depression in this age group. Details of the findings, including a new scale for rating depression in young children, are discussed.
A new method--permanent site hypertensive evaluation with patient revisits--is suggested as a unique way to increase patient compliance. This method reduced mild hypertension for 50% and increased normotension. The easy availability of permanent sites may induce the patient to return regularly, or the patient may be testing the medication or his physician. But whatever the means, normotension is the aim of compliance. Thanks to Mark Cohen and his pharmacy staff, Dot, Ruth, Jim, and George for their many long hours of detection work; to my nurse monitor, Pauline Platt; and to my secretary, Gene Koswoski. This study was done in cooperation with the Montgomery County Branch of the Southeastern Pennsylvania Chapter of the American Heart Association, Philadelphia, Pennsylvania.
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