More thought needed before any merger.
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Biomedical subjects
Publications and source records attributed to M F Thibaudeau.
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Using data obtained from an evaluative study of experimental , health care given to families in two C.L.S.C, this article describes the functioning of a group on under priviledged families in two C.L.S.C. and the health both of the parents and their children below 10 years old. The sample of 85 families comprises an equal number of biparental and monoparental families. Three quarters of those families are on welfare and most of their living conditions are pitiable, half of the mothers come from broken families. Events of daily life involving stress are met with difficulty by most families. The < > shows that the mothers are under stress throughout the project. The children below 10 years old have high levels of school absenteism and display physical and psychological problems.
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The author discusses some findings of a study done at the Centre de Santé Mentale which sought to comparatively evaluate the impact on the chronic mental patient, of a community and a psychiatric hospital approach. After explaining the guiding philosophy of the Centre as well as its interventive programs, the author briefly describes the research methodology before undertaking a move thorough discussion of certain results. She notes (initially) that the Katz Social adaptation score of the Centre's chronic patients increased during the 22 months study to equal that of the hospital patients. Nonetheless, the Centre patients exhibited a more marked socialization, a higher satisfaction level with freetime activities, and, at the same time, had more of these activities than the hospital patients. The author raises the questions of possible further progress of the Centre patient and whether the observed changes result from Centre services. ,The ensuing discussion qS symptoms points to a greater symptom level in Centre subjects as well as a higher "sick" self-perception. In addition, a divergence is evident between the key informant's symptom perception and that of the Centre patient, a divergence which underlines the problem of the environment's perception of the mentally ill and the possibilities of their réintégration. Finally the author proposes a program accentuating the Centre approach, particularly those aspects which mobilise and utilise community resources.
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This study involving 76 amputated patients with non-insulin-dependent diabetes mellitus examined the relationship between their beliefs regarding diabetes and its treatment and their self-evaluation of adherence to diabetes self-care behaviors. Descriptive results showed a high level of adherence to medication, foot care, and blood glucose testing, and a low level of adherence to diet and exercise. The correlative analysis revealed significant relationships between perceived social support and adherence to diet, and between perceived social support, barriers, and adherence to the practice of exercise. The regression analysis showed a significant influence of perceived social support on adherence to diet. The same relationship was observed for the influence of perceived social support and barriers on adherence to exercise. Findings support the importance of giving more attention to patients' needs regarding adherence to diet and exercise, improving social support, and removing barriers to patients' treatment. After an amputation it is important to provide patients with an appropriate diabetes teaching and follow-up program.
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