Bilateral trigonal lateral ventricular mirror image meningiomas : a case report.

A seventeen year old male patient presented with clinical features suggestive of raised intracranial pressure. CT Scan and MRI of brain revealed two mass lesions, one in trigone of each lateral ventricle. They were imageologically alike, appearing as mirror image masses.

Rhinocerebral zygomycosis : a clinicopathological study.

Clinicopathologial features of six cases of rhinocerebral zygomycosis are described. The diagnosis was based on the demonstration of broad, non-septate hyphae in tissue sections. Four patients had rhinocerebral/rhinoorbitocerebral zygomycosis and one had isolated cerebral zygomycosis.

Vasculitic neuropathy : clinical electrophysiological and histopathological characterstics.

The clinical, electrophysiological and pathological features of 16 patients with vasculitic neuropathy were evaluated. Vasculitic neuropathy accounted for 5.3 of biopsy proven cases of various neuropathies.

Implementation and activities of protection and advocacy programs for persons with mental illness.

In 1986, following public hearings, the United States Congress enacted a federal grant program to enable the states and territories to create independent protection and advocacy programs to investigate reports of abuse and neglect of persons with mental illness in residential facilities and to pursue legal, administrative, and other remedies on behalf of those persons. The author discusses implementation of the law and performance of the protection and advocacy agencies in the program's first six years. About 20,000 individuals were served by the program in 1991 and in 1992.

Sexuality and mental retardation: unmet challenges.

The new challenges in supporting people with mental retardation in the community, the nature and extent of the problem of sexual abuse in programs serving this population, and the differing judicial approaches taken to assessing their ability to consent to sexual relations were discussed. Potential sources of provider liability for harm caused to program participants were explained, and recommendations to improve practices were offered.

Informed consent for major medical treatment of mentally disabled people. A new approach.

When an incompetent mentally disabled person has no family member or guardian available, obtaining informed consent for major medical treatment usually requires a court order--an often time-consuming, formal, and expensive process that does not provide for much substantive review of the decision about treatment. Consequently, there is a temptation to circumvent the requirement that informed consent be obtained for treatment of the residents of institutions as well as of those in community mental-health and mental-retardation programs. Under a new pilot program established by the New York State legislature, volunteer committees are empowered to make decisions about medical care in such cases.

Obstacles to reducing patient abuse in public institutions.

Although the abuse of patients in state mental health facilities compromises the patients' therapeutic environment and strongly affects public conceptions of such facilities, there is a lack of reliable research and data on patient abuse. Drawing on his five-year experience as chair of the New York State Commission on Quality of Care for the Mentally Disabled, the author discusses the problems that binder the reporting, investigation, and prevention of patient abuse in public facilities. He believes that the reporting of minor abusive conduct is precluded by the very working conditions that contribute to its occurrence, but that the reporting of major abusive conduct is precluded by powerful factors in the administrative and disciplinary structures of state institutions.

Oral health programme of the Western Pacific Region of the World Health Organization.

The development of the WHO Western Pacific Regional Oral Health Programme was briefly traced through two of the three multi-phased periods (from 1971--77) of WHO collaboration. The third period of development (1978--83) is by a planning exercise referred to as 'the regional oral health medium-term programme'. This exercise takes into account the problem areas at the end of the second period.