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At least 19 recordsLinked to original sources

Halfway houses for alcoholics: a review, analysis and comparisons with other halfway house facilities.

Eight halfway houses for alcoholics were surveyed and compared to other halfway houses for alcoholics, and halfway houses for the non-alcoholic mentally ill, as described in previous studies. The halfway houses for alcoholics surveyed in the present report may be separated into two principal groups: (a) a self-supporting profit-oriented type with an autonomous owner-operator, and (b) a board-controlled and supported type usually receiving group or institutional support. Regardless of group membership, however, none of the halfway houses for alcoholics in the present study matched the high standards set by halfway houses for the non-alcoholic mentally ill as described in other reports. Recent events indicate that halfway houses will be responsible for an increasing portion of persons requiring a structured, supportive or sheltered environment. This paper examines the ability of halfway houses for alcoholics to provide adequate residential care services. Additionally, disparities between alcoholism and non-alcoholism halfway houses regarding staffing, professionalised orientation, and adjunct services are scrutinised. The effectiveness of halfway houses is analysed, and suggestions for future utilisation of alcoholic halfway houses are advanced.

Alcoholism

Further studies in allergenic identity between house dust and the house dust mite, Dermatophagoides farinae Hughes, 1961.

The sera from 99 Japanese asthmatic subjects were studied for the allergenic similarity between house dust and the House-dust Mite, Dermatophagoides farinae Hughes, 1961. A close correlation (correlation coefficient 0.92, P less than 0.01) was obtained between house dust and the mite with the radioallergosorbent test (RAST). High correlation was not noted between house dust and other allergens such as smoky brown cockroach, Periplaneta fuliginosa, Aspergillus, book lice, Liposcelis bostricophilus, Cheyletus malaccensis and Tribolium confusum. IgE antibody to the mite reduced significantly after the incubation of the sera with house dust and IgE antibody to house dust reduced markedly after the incubation of the sera with the mite. These results further support the view that the mite is the most important allergenic component in house dust.

Adolescent

IgE antibodies to house dust, mite, animal allergens and moulds in house dust hypersensitivity.

Fifty-three patients were investigated by intradermal tests and Phadebas RAST and, in most cases, the serum IgE level was determined. They were tested for sensitivity to house dust, Dermatophagoides pteronyssinus, cat, dog, horse and mould allergens. All cases with IgE antibodies to house dust were found to have specific IgE to other tested allergens as well. Eighty-nine per cent of the patients being RAST positive for house dust were also positive for D. pteronyssinus and in the majority of those cases IgE antibodies to other allergens were detected. The results reaffirm previous findings that the mite is not the only allergen in house dust and that extract of house dust is a mixture of several allergenic substances, which make it less suitable for differential testing. It is concluded that serum IgE determination is of value as a screening procedure in the diagnosis and that the use of a number of specific allergens in RAST is valuable in pinpointing the offending allergen in house dust hypersensitivity.

Allergens

[Allergen-specific immunoglobulin E in the serum (RAST), skin tests and mucosa provocation tests using house dust and house mite extract in rhinopathy and bronchial asthma].

Allergy against house dust and house dust mite was examined by RAST, skin and provocation test, with not identical allergen extracts. 50 patients with allergic rhinitis showed insufficient RAST results with house dust, better results for house dust mite. 65 patients with allergic asthma bronchiale presented satisfying results with house dust, good results with house dust mite. Recommendations are given for the application of RAST in the diagnosis of allergy.

Allergens

[The importance of house dust mites and stored food mites as house dust allergens in the rural population].

House dust samples from rural districts contain more mite species (in particular stored food mites) than samples from urban areas, and the total number of mites is also approximately three times greater. 77 patients from rural districts, 48 of whom allergic to their own house dust, and 29 controls, were tested with mite extracts from Dermatophagoides pteronyssimus, D. farinae, Chortoglyphus arcuatus, Acarus siro, Glycyphagus destructor and Tyrophagus putrescentiae, and a house dust extract. Out of 32 patients who showed positive scratch tests to one or more mite extracts, 29 (90,6 percent) reacted positively to D. pteronyssimus, 25 (78.1 percent) to D. farinae and from 7 to 12 (20-40 percent) to the stored food mites. Out of the 48 patients allergic to their own house dust, 27 (56.2 percent showed positive reactions to D. pteronyssinus, 24 (50.0 percent) to the house dust extract and 21 (43.7 percent) to D. farinae. Only 5 (17.2 percent) out of the 29 controls reacted positively to one or more of the solutions tested. The stored food mites showed 2.5 to 4.5 times more positive reactions in the rural patients compared with the results obtained in urban patients. The importance of these mites in the sensitization of patients from rural districts is discussed.

Adolescent

House dust mite and house dust allergy.

Skin testing and the radioallergosorbent test (RAST) with extracts of house dust and mite (D. farinae) were performed on 100 patients. Correlation between positive prick tests with the two antigens was low, many more reactions being obtained with the house dust antigen in patients clinically positive to house dust. Also, for both antigens, the degree of reactivity was higher with the prick test than with RAST. It is concluded that, in this geographic area, house dust extract is more suitable than mite extract for skin testing and, by inference, for hyposensitization therapy of house dust-sensitive patients.

Adolescent

Housing characteristics and the well-being of elderly tenants in federally assisted housing.

The relationship between sponsorship, community size, building size (number of dwelling units) and height of building, on the one hand, and six indices of well-being of elderly tenants, on the other, was examined in a study of 2457 subjects from 154 federally-assisted housing projects. Control was exercised on a variety of personal variables prior to the examination of the environmental relationships to well-being. Private nonprofit sponsorship was associated with higher friendship scores and greater activity participation. Tenants in smaller communities had higher friendship scores, greater housing satisfaction, and greater activity participation. Housing satisfaction was greater in projects that were smaller in terms of total number of units but was not related to size when size was defined in terms of elderly-designated units. Thus, only marginal support for Barker's undermanning hypothesis was found. Greater height of building was associated with lower housing satisfaction and less neighborhood motility.

Aged

Accudosetm aerosol--an effective house fly (Diptera; Muscidae: Musca domestica L.) adulticide control system for cage type poultry houses.

An automatic piped aerosol system (Accudose TM) using 0.7% synergized pyrethrin insecticide, was tested at a typical narrow cage poultry farm for the control of adult house flies, Musca domestica L. A similar narrow cage poultry farm was used as a control with all house fly control measures left up to the cooperating poultryman. AccudoseTM was compared with other house fly control methods at other similar farms which included three types of man-portable ultra volume (ULV) generators and an integrated (biological-chemical) program. Results of the five month test demonstrated that the AccudoseTM system suppressed house fly populations better than other control methods.

Aerosols

A comparative study of long-stay psychiatric patients discharged to boarding houses and satellite houses.

A comparative psychosocial study of two groups of long-stay psychiatric patients discharged from Callan Park Hospital to boarding houses and satellite houses in the Callan Park Hospital region is reported. It was concluded that the social and vocational functioning of both groups was at a low level but that satellite house residents had more spare money and described a less institutionalized and a more homely environment in satellite houses.

Attitude to Health

[Immunological investigations of house-dust and house-dust mites. Part III. A simplified basophil degranulation test. Preliminary communication (author's transl)].

The basophil degranulation test (BDT) after Shelley has been simplified and tried on patients allergic to house-dust or to house-dust mites. All 20 patients reacted to the mite extracts and 19 out of 20 to the house dust extracts. Out of 20 control persons 17 had negative results to the mite extract and 16 to the house-dust extract. The advantages of this new simplified method are discussed.

Basophils

[House-dust allergens. II. Correlations of intradermal reactions of house-dust extract and extract of "D. pteronyssinus"].

In a previous study we had found a high correlation between the positive reaction to standard house dust and to a mites pool extract of 0.86. The study had indicated that the dominant mite found in standard house dust in Barcelona seemed to be D. pteronyssinus. We wished to further confirm this finding by comparing skin reactions to an extract of this mite with skin reactions to the city's dust. A dust extract (HDS-B) was prepared according to the Spieksma technique in a proportion of W/V 1/10 and diluted to 1/1,000 with the liquid of the extract. Extracts of D. pteronyssinus were prepared with a culture medium (HDM), diluted to 1/1,000,000 and a control of thc culture medium at 1/100. A study was made of 56 children suffering from asthma due to house dust, their ages ranging from 4-14 years. 19 were eliminated due to positive reactions to the control. Among the remaining 37 a skin-reaction to histamine ratio was established. The correlation coefficient found was 0.91, which is significant at a level of P less than 0.001. It is also noteworthy that of the nineteen children (33.9%) who reacted to the control, 10 (17.85%) of them reacted positively with at least 2-3 crosses, which leads us to think that human dander may act as a lesser allergen. We therefore conclude that: 1. D. pteronyssinus is the principal source of allergen in domestic dust. 2. The precise role of human skin dander needs to be clarified.

Allergens

House-to-house, community-wide chemoprophylaxis for meningococcal disease: an aggressive approach to disease prevention.

During an outbreak of meningococcal disease in a rural community in southwest Alabama in 1975-76, we undertook an aggressive campaign of house-to-house, community-wide chemoprophylaxis distribution. Over a three-day period 1,045 households were visited and 4,454 persons received medication. The 1970 census lists 967 households with 4,067 persons residing in the community. To evaluate compliance we cultured for meningococcal carriers before and after the chemoprophylaxis campaign. All of the previously discovered carriers were negative three weeks after the drug distribution. The cost of the campaign ($26,520) was very small compared to the possible benefit achieved. The methods of planning and executing this campaign are described in detail.

Alabama

Treatment of allergy to house dust with pyridine-extracted alum-precipitated extracts of the house dust mite.

Two preliminary trials in which patients with respiratory allergy to the house dust mite were treated with pyridine-extracted alum-precipitated extracts of house dust mites are described. In the first, using an extract of D. farinae, twenty-two of twenty-eight asthmatic patients improved. In the second, using an extract of D. pteronyssinus, fifteen of eighteen asthmatic patients improved.

Alum Compounds

[Immunologic investigations of house-dust and house-dust mites. I. Schultz-Dale test (author's transl)].

With Dermatophagoides pteronyssinus and house-dust sensitized guinea-pigs showed cross-reactions between house-dust, D. pteronyssinus and D. farinae in the Schultz-Dale test. Euroglyphus maynei gave positive reactions only in animals sensitized with D. pteronyssinus. The stored food mites Tyrophagus putrescentiae, Chortoglyphus arcuatus and Glycyphagus destructor and the rearing medium (horse dander/yeast) did not cause any cross-reactions in any test group.

Allergens

A house is a center is a house: participatory design for a community counseling center.

Using an environmental-design concept called pattern language, an architectural design group worked with five mental health center staff members to locate, design, and move into a setting for a satellite counseling center. The group first identified environmental problems, especially the lack of privacy, that existed in the counselors' previous setting, a remodeled storefront. However, in their new quarters, a two-story house, staff decided against having private offices; they used the upstairs rooms for counseling and the downstairs for shared spaces and work stations--inexpensive, individual cabinets with desk space that were placed to allow privacy for the user, yet permitted the communication essential for work as a team. After 18 months of use, staff's and clients' reactions to the setting continued to be favorable.

Community Mental Health Services