Special Section: Public Mental Health Perspectives on Trauma: Introduction

Psychiatric Quarterly -     

The Alcohol Beverage Warning Label: When Did Knowledge Increase?

This article presents data on the awareness of the alcohol beverage warning label among a sample of 5,169 inner city African-American gravidas seeking prenatal care. While the label law was implemented in November 1989, a significant increase in knowledge of the label did not occur until March 1990. Women who predominantly consumed wine coolers and beer, and those under age 30 were more likely to know about the label than their counterparts.     

Problems with a ‘target’ approach to access in primary care: a qualitative study

We report an analysis of the qualitative phase of a study of patients' and carers' views of primary care services, focusing on their experiences of access to face-to-face general practitioner (GP) consultations during the period when new access policies were being implemented. Practices interpreted the new policy in various ways; restricted interpretations, including restriction of access to telephone booking, could cause distress to patients. Patients and carers welcomed flexible interpretations of the policy that offered choice, such as a choice of GP, or of booking in advance.     

无家可归者多地点结核病传播

地点：2002-2003年，在华盛顿King县，结核病（TB）在多个收容所的人群中大规模爆发。 目的：控制结核病在多个地点的传播。设计：2002年，对收容所病人的接触者进行筛查，作结核菌素皮试（TSTs）和症状回顾。根据这些筛查的结果，确定和优选传播的地点。2003年，对暴露于这些点的队列作彻底的筛查（例如，症状回顾，TST，胸部X线检查[CXR]，痰检和痰培养）。利用PCR为基础的方法对从病人那里分离出来的结核分枝杆菌作基因分型，以快速确认爆发相关病人。 结果：2002-2003年，King县313例确诊的病人中有48例（15％）与爆发相关；通过基因分型，47例培阳病人分离出和爆发相匹配的菌株。3个收容所由于在2002年接纳的病人超过12人，所以人群中TST阳性率（约30％）高于收容所中的一般水平（7％）。用一个痰培养筛查接触者和CXR发现结核病人的敏感度相似（分别为77％和62％）。 结论：一个广泛的资源密集的途径可能有助于控制疾病的传播。这次爆发突显出无家可归者的脆弱性和在城市维持强有力的结核病规划的必要性。