Examines the relationship of medical malpractice to physician discipline, quality control, alternative dispute resolution approaches, a no-fault system of compensation, and tort law; US; 12 articles.
Skin testing with tuberculin and histoplasmin was combined with the annual roentgenographic examination of high school students in Montgomery County, Maryland, during the spring term of 1957. More ...than 3,200 students participated in the program. The tests were given by intracutaneous injection of a 5 TU dose of standardized tuberculin and a 1:100 dilution of histoplasmin H-42. Reactions were read in 48 to 72 hours by measuring the transverse diameter of induration. Photofluorograms of the chest were read without knowledge of the results of the skin test.
The prevalence of tuberculin sensitivity was found to be very low among white students throughout the county. It was estimated that only about 3% of the students had reactions indicative of a tuberculous infection. Histoplasmin sensitivity was many times more prevalent than tuberculin sensitivity and, moreover, showed striking differences in sections of the county no more than 20 miles apart, ranging from about 14% in the suburban schools in the southeast to more than 60% in the rural northwest. Pulmonary calcifications were most frequently associated with sensitivity to histoplasmin, occasionally with sensitivity to both histoplasmin and tuberculin and in no instance with sensitivity to tuberculin only.
The Section developed by the Community Health Services Study Group proved to be a difficult, yet important, segment of the "Guidelines." They have worked diligently to prepare a document which will ...give communities stimulation, information, and direction in achieving the goals of identifying persons at high risk, preventing stroke, improving care of stroke patients, and providing continuity of care, particularly after the life-threatening phase of illness. The awesome responsibilities facing various health workers and community agencies in after-care are detailed. It is i this area that concerted effort can make an important contribution, particularly in those instances where disability is severe and support from many sources is essential. Although no blueprint can be outlined in a manner which will be universally applicable, this description of facilities and services, if applied imaginatively, should be useful to health planners, hospital trustees, civic leaders, health professionals, and educators in mounting community programs for prevention of stroke and comprehensive care of persons who suffer a stroke.
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