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16. MEDICINE AND HEALTH CARE
How to interpret the catalog entries:
- How old is my paper? The closer a paper is to the top of a page, the more recently it was written.
- Book reviews Underlined titles indicate that the paper is a review/summary of a book.
- Page lengths, footnotes and bibliographic references: The title of the paper, usually typed in capital letters, is followed by a brief description of the paper and a specification of text page length (NOT including the bibliography or endnote pages), number of footnotes or citations, and number of bibliographic references.
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13461. MOOD DISORDERS: A FOCUS ON BIPOLAR DISORDER FROM THE PERSPECTIVE OF THE TREATING CLINICAL PSYCHOLOGIST. Following an overview of the prevalence, etiology, and symptomatology of the principal mood disorders (i.e., major depressive disorder and bipolar disorder), this paper focuses on the diagnosis and treatment (medication and psychotherapeutic) of bipolar disorder (focusing on bipolar I and bipolar II). The intended audience for this review is the clinical psychologist. Although medication treatment under the primary direction of a psychiatrist is the generally accepted first-line treatment for both major depression and bipolar disorder, “talk therapies” (particularly cognitive-behavioral therapies) under the direction of a skilled and trained clinical psychologist are a vital adjunctive treatment modality in mood disorders. 27p. 42f. 28b.
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13460. HIV & AIDS. This paper provides an overview and analysis of current knowledge of HIV infection and AIDS, with a focus on the dynamics of the virus and its behavior within the human host, the natural history and clinical course of HIV infection and AIDS, and the current state-of-the art in treating HIV infection and AIDS. The discussion of treatment, while concentrating on contemporary combination antiretroviral therapy, also considers the existing and emerging role of immune therapies and alternative therapies in HIV and AIDS disease management. 18p. 79f. 24b.
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13459. PROSTATE CANCER. This paper provides an overview and analysis of prostate cancer, with a focus on current and emerging treatment strategies. Following a definition/description of prostate cancer, an overview of its biology and clinical course, and a discussion of its epidemiology and etiology, the analysis examines current and emerging preventive, palliative, and “curative” strategies in the treatment of prostate cancer. 20p. 76f. 34b.
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13457. PREVENTING E COLI OUTBREAKS: AN ORGANIZATIONAL BEHAVIORAL MANAGEMENT INTERVENTION. Based on an analysis of a recent article in the Journal of Infectious Disease focused on the sources and risk factors for E coli infection, this paper presents a planned organizational behavioral management intervention. The intervention consists of a safe food handling and hand washing training and education program for food handlers in fast food restaurants. 11p. 7f. 2b.
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13456. HEALTH PROMOTION AND SOCIAL MARKETING: TEEN SMOKING. This paper presents a proposed smoking cessation program aimed at teen smokers. Reviews the literature on teen smoking, the rationale for providing teen smoking cessation programs, and the special factors which must be considered in developing a smoking cessation program for teens versus adults. Describes the main components of the program, which includes behavioral therapy, relapse-prevention therapy, and monetary incentives. Presents a media strategy for marketing the program and recruiting teen subjects. Concludes with an outline of an evaluation of the intervention. 13p. 23f. 10b
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13455. PERSONAL CHANGE PROJECT: A STOP-SMOKING PROGRAM. Presents a stop-smoking program designed for a middle-aged woman who has smoked approximately two packs per day for 25 years and who has hesitated to attempt quitting again because of concerns over weight gain. Discusses scientific findings on weight gain and smoking cessation. Designs a behavioral program based on the specific needs/risks of the target smoker, outlines a recording system, graphs results for first 20 days. 7 pages plus appendices, 18f. 7b.
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13454. COMMUNITY HEALTH PROMOTION: PREVENTING HIV. Drawing upon an article in the journal AIDS Education and Prevention (Wong, Chng, & Lo, 1998), this paper analyzes a community level health promotion program which seeks to prevent HIV transmission and infection among urban-dwelling Asian- and Pacific Islander Americans. Although the focus article describes six different such programs (in Honolulu, San Francisco, Los Angeles, New York, Philadelphia, and Boston), the subsequent analysis draws on additional literature to focus most closely on the merits/shortcomings of the community intervention program in New York City and the special needs/priorities of the Asian population in that area. 9p. 13f. 4b.
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$63
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13428. THE ROLE OF NURSES IN TRAVEL MEDICINE. Argues that nursing professionals can assume a primary role in the rapidly growing field of travel medicine. Following a history and overview of the development of travel medicine, the analysis traces the major roles and activities of the travel medicine provider and the vital role to be played by nurses. 14p. 39f. 17b.
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13421. ALTERNATIVE MEDICINE AND THE NIH. This paper provides an overview and analysis of NIH-mediated activities in the area of alternative and complementary medicine. The first section traces the history of CAM at the NIH and describes the current and historical mission of the Office of Alternative Medicine (now the National Center). Following this, the analysis looks at NIH-funded studies of alternative medicine, focusing on the general direction of these studies and highlighting consensus statements on various CAM modalities. The next section addresses issues of methodology in the scientific study of CAM, with particular reference to NIH position statements on this issue. The remaining sections examine how alternative medicine “fits” within conventional medicine and the existing healthcare reimbursement system and how it is viewed by healthcare practitioners from both the “alternative” and “conventional” ends of the spectrum. KEYWORDS: alternative medicine term paper national health policy nutrition herbal vitamin chiropractic acupuncture complementary medicine research paper. APA Style. 26 pages, 72 footnotes, 32 bibliographic sources.
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13400. PRESCRIPTION PRIVILEGES FOR PSYCHOLOGISTS? This paper provides an overview and analysis of the controversy surrounding the provision of prescription privileges for psychologists. Following a brief overview of some of the forces driving the push for prescription privileges, the major points of contention, and an outline of the principal parties supporting each side, the analysis reviews the arguments both for and against prescription privileges for psychologists. A concluding section presents recommendations based on the merits of each side of the controversy and argues that prescription privileges should not be granted to psychologists. 12p. 29f. 15b
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13398. A REVIEW OF 10 CASES IN CLASSIC CASES IN MEDICAL ETHICS BY GREGORY PENCE. Ten 1-page summary overview and comments on ten different chapters of Pence’s book dealing with significant issues of medical ethics. Considers abortion, transplant organ allocation, animal experimentation, human experimentation, involuntary psychiatric commitment, control of teen pregnancy, surrogacy, physician-assisted dying, and mandatory testing for HIV. 12p. 14f. 1b.
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13395. CUTANEOUS LEISHMANIASIS. A comprehensive overview of this parasitic tropical disease with a focus on disease management and laboratory findings. Considers etiology, epidemiology, cell biology, pathology, immunology, diagnostic procedures, treatment (pharmacologic, physical) strategies, and prevention and control strategies. 34p. 191f. 52b.
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13392. VIRUSES AS A CAUSE OF CANCER. This paper provides an overview of analysis of the viral etiology of human cancer. Following a brief introduction to cancer, the analysis profiles the known and suspected links between specific viruses and cancer, considers the biological mechanisms of viral action in cancer, and discusses recent research on the links between viruses and cancer. KEYWORDS: cancer etiology viruses research paper. APA Style. 11 pages, 52 footnotes, 24 bibliographic sources.
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$77
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13385. MYCOBACTERIUM TUBERCULOSIS. This paper provides an overview and analysis of Mycobacterium tuberculosis as a global health emergency. The analysis considers factors related to the resurgence of TB and the emergence of treatment-resistant strains, transmission of the bacillus, and strategies to prevent transmission and control the progress of the disease in infected individuals. Because of its probable vital role in the development of effective vaccine and treatment strategies, information about the genome of this organism – which has recently been mapped in its entirety by Cole, et al. (1998) – is also presented. 11p. 44f. 16b.
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13370. THE ETHICS OF INVOLUNTARY PSYCHIATRIC COMMITMENT. Considers the controversial biomedical ethics issues related to involuntary commitment of the mentally ill, weighing the patients’ rights and patient autonomy arguments against and the utilitarian and parens patriae arguments in favor of involuntary commitment. Examines the extent to which the “purity” of these opposing moral arguments have been confounded and diluted by the politics of deinstitutionalization, the problem of homelessness and the public’s fear of the mentally ill. KEYWORDS: psychiatry ethics mentally ill confinement involuntary psychiatric commitment. APA Style. 10 pages, 17 footnotes, 7 bibliographic sources.
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$70
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13366. GENDER DISCRIMINATION AND WOMEN’S HEALTH. This essay takes the position that discrimination against women, in both developed and developing societies, has had a profoundly negative impact on women’s health in particular and the state of world health in general. Examines the role of culture and ethnicity, describes particular aspects of gender-biased health care and outcomes, considers whether or not such discrimination can be ended and looks at the appropriate role for the health educator. 5p., 13f., 7b.
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$35
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13365. PROPOSAL FOR A SCHOOL HEALTH EDUCATION PROGRAM. This paper presents a sample health education program for a local school. The school targeted for intervention is a New York City metro area urban middle school with a multi-ethnic student body population of 356. Based on a survey of students’ health behaviors, specific health threats (tobacco use and risky sexual behaviors) were identified for the community and a program aimed at addressing these threats developed. The analysis considers the prerequisites for plan implementation (e.g., establishing a need for the program, securing funding, etc.); describes the components of the school health program; considers the major barriers to program implementation; takes into account the impact of racism on the school on program success; plans for increasing public awareness of the need for the program; develops a strategy for engaging the participation of local senior citizens; and formulates responses to potential parental objections to the program. 16p., 18f., 11b.
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$112
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13364. PROFILE OF A LEADER IN COMMUNITY MENTAL HEALTH. Current problems and issues in community mental health are discussed in this report which presents a summary review and analysis of a confidential interview with a leader in community mental health in a major metropolitan area. Subjects covered in the interview include duties, responsibilities and qualifications for the position, the role of local government agencies, issues related to funding, and cultural/ethnic issues. A brief concluding section presents summary research on how community mental health issues are addressed in other countries, with a look at both the developed and the developing world. An organizational chart of the community mental health center profiled in this report is included as an appendix. KEYWORDS: community mental health organizations leaders. APA Style. 10 pages + appendix, 12 footnotes, 9 bibliographic sources.
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$70
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13323. MANAGED CARE: IMPACT ON SOCIAL SERVICES/MENTAL HEALTH CARE. This paper examines the impact of the managed care paradigm on the delivery of mental health (or, as it is now called, behavioral health) care services, with special focus on the effects of managed care on social workers (MSWs, LCSWs, BSWs) and the range/scope of services these health care workers provide. Includes an overview and description of managed care as it has evolved within and impacted mental health care service delivery. Changes in reimbursement, controls on providers, and the changing role of various providers (e.g., psychiatrists, psychologists, social workers, counselors) within the evolving system are examined. Assesses the impact of the new system on social workers and their patients/clients. 24p., 45f., 22b.
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$133
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13320. POST-TRAUMATIC STRESS DISORDER. This paper presents an overview and analysis of post traumatic stress disorder with an emphasis on its association with comorbid alcohol and substance abuse disorders. The phenomenology of PTSD is described, including its symptomology, diagnostic classification, course of illness, and prevalence. Biological as well as psychological components of the disorder are considered. To further understand how to treat this disorder, the analysis considers its etiology and the role of comorbid psychiatric disorders, particularly substance/alcohol abuse. The concluding section examines treatment protocols, considering pharmacological, psychotherapeutic, and preventive interventions with special attention to treatment of dually diagnosed PTSD and substance abuse. 34p., 142f., 43b.
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13319. MARKETING PRESCRIPTION DRUGS DIRECTLY TO CONSUMERS. Discusses the ethical issues involved in this practice, and argues in favor of a patient's right to information and self-determination. On this basis, also argues for a "code of ethics" to ensure truthfulness and full disclosure in drug ads. 6p., 18f., 7b.
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$42
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13229. (UN)COORDINATION IN INTERNATIONAL HEALTH POLICIES & PROGRAMS. This research paper addresses an issue which is widely perceived to be at the crux of the "crisis" in international health - the lack of coordination between external agencies and the policy conflict over the priorities and purposes of international health cooperation. It is argued that as the World Bank has increasingly taken the leadership role in international health policy, the defacto mandate for global cooperation in health has shifted from the World Health Organization's mandate of "the attainment by all peoples of the highest possible levels of health" to the economic development agenda of the World Bank. At the same time, the forces of globalization and their impact on the health of developing and newly industrializing countries has led a number of analysts to advocate a re-focusing of the mandate on the principles of social justice. KEYWORDS: health economic development international agencies world health organization argumentative essay term paper. 8p., 15f., 7b.
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$56
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13219. STOPPING THE SPREAD OF AIDS IN THE PHILIPPINES: HEALTH PROGRAM PROPOSAL. This paper presents a proposal for controlling the spread of AIDS in the Philippines. The proposed intervention is aimed at a category of the population deemed to be at especially high risk for contracting the disease - commercial sex workers (registered and freelance). Following a description of the nature and scope of the problem and a brief justification for why intervention is necessary for this problem, the analysis presents a program to reduce the problem. The proposal calls for a three-pronged intervention of: 1) AIDS education for commercial sex workers; 2) Distribution of free condoms; and 3) a PR campaign aimed at encouraging Filipino men to use condoms. KEYWORDS: aids prevention asia term paper. 18p., 35f., 15b.
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$126
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13214. TALK THERAPY: HOW EFFECTIVE IS IT? This report provides a review and analysis of the use and effectiveness of talk therapy as a treatment modality in a variety of psychological and psychiatric disorders. Following a brief definition of talk therapy and a discussion of its objectives and various approaches, the analysis reviews current literature on the evidence for the effectiveness of talk therapy, both in general and in specific disorders and examines some of the factors (e.g., length of treatment, stage of illness, quality of therapy/therapist, type of psychotherapy, etc.) which may mitigate its effectiveness. A concluding section considers some of the current challenges to the successful implementation of talk therapy modalities, with special reference to the role of managed care. 12p., 48f., 21b.
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$84
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13205. ARTIFICIAL HEART. Discusses the importance of this device and describes how it works. Also describes recent developments (such as a simplified device for left ventricle failures) that have made it more portable and permanent, as well as safer. 5p., 25f., 8b.
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$35
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13203. VIRTUAL REALITY IN HEALTH CARE. This paper examines the history, current application, and potential use of one exciting new technological tool for health care - virtual reality. Following a definition of key terms background discussion on the uses of virtual reality and related technologies in health care, the analysis describes and analyzes the current applications of virtual reality in the health care sector, considering the rationale for and advantages of its use. The next sections examine some of the barriers to and problems in advancing the use of VR in health care, and considers possible steps to overcome these barriers. A concluding section summarizes the future trends of virtual reality in health care. 17p., 45f., 23b.
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$119
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13181. WHAT THE US CAN LEARN FROM OTHER HEALTHCARE SYSTEMS. This essay considers what the U.S. can learn from the experiences of other countries in the establishment and maintenance of an affordable system of healthcare which equitably distributes high-quality services to the entire population. Prior to elaborating some of the specific things that U.S. healthcare policymakers might learn from other systems, the analysis considers both the limitations and the opportunities for learning from other countries. 6p., 15f., 5b.
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$42
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13161. GENITAL HERPES: A PUBLIC HEALTH PROBLEM. Provides a public health profile and analysis of this common sexually-transmitted disease. Considers disease incidence and prevalence, clinical features, risk factors, and public health measures to address the problem. 7p., 25f., 18b.
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$49
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13148. SUDDEN INFANT DEATH SYNDROME (SIDS). Discusses possible causes of the problem, including genetic heart disorder and health habits of the mother. Focuses especially on the importance of the supine sleep position. Also discusses studies on the effectiveness of a recent campaign to educate mothers on the issue and concludes that there is a need for more work in this area. 13p., 37f., 9b.
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$91
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13126. MANAGED CARE: IMPACT ON THE POOR. This report investigates the question of whether poor people - a group which has historically faced many disadvantages in the health care system - will be better off under managed care. Considers the growing dominance of managed care in both the private and public sectors, examines the poor's access to health care, and considers quality of care issues. Concludes that the growing dominance of managed care will reduce the poor's access to care and will increasingly pigeon-hole them within a second-class system of health care. 15p., 28f., 16b.
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$105
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13108. OLIGOPOLY IN THE PHARMACEUTICALS INDUSTRY. Looks at the drug industry as an example of a structural oligopoly; domination of the market by a few players is attributed to high R & D costs, patent protections, brand name recognition, and mergers and acquisitions that keep out new competitors. Eli Lilly is cited as a case example of a major industry player with a position protected by famous trade names and growth into biotechnology and non-drug businesses. 11p., 14f., 5b.
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$77
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13090. CULTURAL DIVERSITY IN HEALTH CARE: THE NATIVE AMERICAN. To illustrate the importance of cultural sensitivity in health care interactions, this paper provides an overview of Native American approaches and beliefs about health and illness. Some of the major questions considered in this investigation include the following: How do Native Americans view health and illness? How do Native American healing practices differ from those of the dominant culture? Do Native Americans have any special health care concerns relating to their culture or lifestyle? The starting point for this overview was an interview with a Native American man. The interview material is supplemented by and supported with information drawn from a review of scholarly literature on Native American health systems. 12p., 22f., 13b.
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$84
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13047. CHRONIC FATIGUE SYNDROME. This report provides an overview and analysis of the current medical/psychiatric literature on chronic fatigue syndrome (CFS). Defines CFS, discusses its prevalence, traces its history, outlines diagnostic criteria and differential diagnosis, profiles symptoms, examines etiology and risk factors, and discusses treatment strategies. Concludes that CFS is a multi-faceted disorder with a multi-system etiology and heterogenEous course of illness. 18p., 43f., 18b.
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$126
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13045. DISEASE MANAGEMENT. The report provides an overview and analysis of "disease management" a form of managed care aimed at controlling costs and improving patient outcomes for common chronic diseases such as asthma, diabetes, hypertension, low-back pain, headache, and depression. Following an overview of the crisis of chronic care, the report defines disease management, outlines its central objectives and components, discusses its advantages and disadvantages, and defines the factors which differentiate effective from ineffective disease management programs. 11p., 32f., 12b.
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$77
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13044. ALTERNATIVE MEDICINE: NATUROPATHY. This report draws on a scholarly review of literature and an interview with a licensed naturopathic physician (N.D.) to present an overview and analysis of naturopathy, an established formal system of alternative medicine indigenous to the United States. Defines naturopathy, traces its history, profiles underlying principles, discusses major treatment modalities, profiles training and licensing procedures, and considers the accomplishments and limitations of this system of alternative/complementary medicine. 11p., 26f., 11b.
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$77
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13040. HEALTHY AGING. This report focuses on the issue of "healthy aging" through an interview with an elderly person who represents a role model of a senior who has mastered the challenge of "healthy aging" and through an analysis of scholarly literature on the subject of healthy aging. 10p., 16f., 6b.
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$70
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13028. A FAMILY STRESS MANAGEMENT PROGRAM. This report presents a personal assessment and a stress management program design for a hypothetical young married couple experiencing family dysfunction and stress in their lives. The second part of the paper summarizes and reviews community resources which offer professional help to people experiencing depression, anxiety, family dysfunction, or other stress-related problems. In addition to discussing general resources which can be located within most US communities, the analysis identifies specific resources in the New York metro area. 11p., 8f., 9b.
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$77
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13024. TQM IMPLEMENTATION IN HOSPITALS: SUCCESS OR FAILURE? This report examines the implementation of total quality management (TQM, often used interchangeably with the term continuous quality improvement or CQI within the hospital setting) in hospitals. Following an overview of the origin and principles behind total quality management (with a focus on the Deming model) as it evolved within industries outside of the healthcare setting and a brief history of TQM's evolution within the hospital setting, the report presents a review and analysis of the literature on the successes and failures of TQM implementation in the hospital setting. Another section of the report presents a comparative assessment of TQM in other industries and a discussion of its general "goodness of fit" with hospitals and the current health care environment. A concluding section summarizes the major findings of the review, draws conclusions about the future of TQM in hospitals, and makes recommendations for further investigation. 37p., 115f., 43b.
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$133
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12729. THE CYCLE OF ADDICTION. This paper identifies and discusses the key elements that perpetuate the cycle of addiction. These elements can be broken down into four broad categories: the social environment (friends, family, community), genetics, biological or physical aspects, and psychological aspects. Argues that psychological aspects may be the most important in both perpetuating and finally breaking the ties of addiction. KEYWORDS: addiction causes contributing factors psychological factors drug alcohol abuse treatment. APA Style. 6 pages, 21 footnotes, 6 bibliographic references. 1,979 words.
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$42
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12713. EASTERN AND WESTERN PHILOSOPHIES OF HEALTH AND WELLNESS. A historical survey which contrasts Eastern holistic methods with those of Western medicine. The Eastern method tries to bring the body into harmony with nature, while the Western method is concerned with healing individual parts of the body. The paper concludes by noting the current trend in the West of merging these two medical philosophies. 7p. 25f. 8b.
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$49
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12712. RELATIONSHIP BETWEEN EATING DISORDERS AND ADDICTIVE BEHAVIORS. Discusses the addictive potential of food and the link between eating disorders and substance abuse. Studies have shown bulimia to be more strongly related than anorexia nervosa, but it is still not known why some bulimics become substance abusers and others do not. 7p. 25f. 6b.
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$49
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12711. EUTHANASIA AS A SOCIAL POLICY. This report makes the case for the legalization of euthanasia (mercy-killings) within a strictly controlled and monitored system. Traces the history of euthanasia and changing social attitudes towards mercy killing with the advancement in life-sustaining medical technologies. Recommends a framework of standards and guidelines similar to that adopted in the Netherlands and cautions that the decision to invoke the euthanasia option must always be individualized. 15p. 23f. 18b.
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$105
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12710. THE CONCEPT OF CARING IN NURSING. The paper explores the relevance of caring to nursing theory through a comparative analysis of Sister Callista Roy's Adaptation Model of Nursing and Betty Neuman's Neuman Systems Model. The paper shows how such related nursing practices as nursing assessment, nursing care planning, and psychological intervention can be connected to a larger model of nursing as a caring profession. 16p. 28f. 14b.
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$112
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12709. CONSUMER EXPECTATIONS AND THE CHANGING US HEALTHCARE SYSTEM. This paper which examines consumer expectations of health care within the context of transformations in the U.S. health care industry. The paper begins with an overview of the central ethical debate in health care delivery and the stance of the US consumer on the debate between healthcare as a right and health care as a consumer good. The rest of the paper focuses on the transformation of the US health care industry and consumer responses to this transformation. Includes discussions of the effect of the Balanced Budget Act of 1997 and the 1996 Health Insurance Portability and Accountability Act. A concluding section examines the extent to which private market, "managed competition" in health care can realistically meet (or approach) consumer expectations of health care. KEYWORDS: us health care industry health insurance insured heatlhcare market reform universal healthcare managed care. APA Style. 38p., 56f., 37b.
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$133
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12707. DIET PILLS. A paper on the heart problems caused by the uses of fen-phen and Redux. Discusses case studies and controversies, as well as the response of the medical community and the FDA. Concludes by arguing that people with mild weight problems should seek healthier alternatives (diet and exercise). 11p. 53f. 8b.
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$77
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12514. ATTENTION: AGING MEN. Analysis of 1996 Newsweek article concerned with the use of hormone replacement therapy to reverse the effects of aging. Discusses the social, economic, educational and public health implications of the article, and concludes with the view that the therapy is risky and that exercise and diet are better ways to counter aging. 5p., 8f., 3b.
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$35
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12513. "WHAT'S THE WINDOW FOR MAKING BABIES?" BY RITA RUBIN. Analysis of 1996 article from U.S. News On-Line by Rita Rubin on the determination of when women are most fertile. The discovery of more precise information is called a "break-through," and the implications for natural family planning and the use of home test kits are discussed. 5p., 9f., 3b.
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$35
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12512. WHAT'S WRONG WITH OUR SPERM? Analysis of 1996 Time magazine article reporting on recent declining sperm counts in men. Discusses the implications of this finding, and the search for its cause and possible solutions. Also criticizes a logical fallacy in the article and suggests that a decline in fertility may actually be good for reducing overpopulation. 6p., 7f., 2b.
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$42
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12511. A HIGH-TECH DEBATE OVER WOMEN'S BONES. Analysis of 1996 U.S. News On-Line article by Susan Brink concerning osteoporosis and its risk factors. Emphasizes the implications of two findings: that the drug Fosamex may relieve some of the symptoms of the disorder, and early detection requires a need for more access to X-ray machines. 6p., 11f., 3b.
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$42
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12510. THE FINANCIAL IMPACT OF PREVENTIVE HEALTH CARE. This paper seeks to provide a general summary and analysis of the financial impact of preventive care. The analysis begins with an overview of the intuitive arguments suggesting the clinical and cost effectiveness of preventive health care. The next section examines the methodology (and problems therein) of assessing the financial impact of preventive care. A concluding section reviews the recent literature on the problems and promises of preventive health care. 16p., 4f., 3b.
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$112
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12509. DEATH AND THE ELDERLY. Analyzes and profiles the death-related encounters, attitudes, and reflections of elderly people through an examination of the literature on death and dying and the elderly and interviews with two elderly widows and one registered nurse who works with the elderly. Specific issues examined within the analysis include dealing with the death of a spouse, bereavement and coping, personal illness and citing vitality, relations with family and friends, and attitude towards death. 13p., 29f., 16b.
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$84
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12506. DISCUSSION OF A CENTRAL EXPERIMENT: ELECTROMAGNETIC FIELDS AND CHILDHOOD CANCER. Considers the possible dangers of EMFs on human health through a review and analysis of Feychting and Ahlbom's (1993) seminal empirical epidemiological study of EMF-cancer links in a group of Swedish children. Defines the EMF-human health problem, discusses the epidemiological approach, and comprehensively reviews the study and the critical response to it. 13p., 33f., 9b.
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$91
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12505. WEIGHT MANAGEMENT AND EATING DISORDERS. This paper provides an overview and investigation of weight management and eating disorders. As an introduction to the topic, the analysis begins with a brief summary of a visit to a counselor specializing in the treatment of eating disorders. This is followed by the analysis of three separate cases, each involving a patient manifesting a different type of eating disorder of weight management problem. Each analysis begins with a brief summary of the case and the client's presenting symptoms. Drawing on recent psychological, dietary, and medical literature, the eating disorder presented is identified and discusses. The second part of each analysis presents a suggested treatment plan and rationale for the patient. 25p., 29f., 14b.
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$133
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12504. THE ETHICS OF HEALTH CARE DISTRIBUTION. Presents an analysis and assessment of the moral issues surrounding the distribution of health care in the United States from the perspective of the early 21st century. The analysis is structured as hypothetical testimony from an expert in health policy ethics presented at public hearings which aim to reach a broad consensus on the issue of universal health care. The paper argues that access to health care is a right, not a privilege, and as such, ethics imperatives require the development of a viable national health care system which provides equal access to health care for all Americans. 14p., 43f., 27b.
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$98
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12503. SOCIAL RESPONSIBILITY AND THE 'RIGHT' TO HEALTH CARE. Takes a case analysis approach to considering the ethical and legal implications of the 'right' to health care in contemporary America. The implications (for individuals, health care providers, the society) are considered within the framework of a hypothetical new national health insurance system and the situation facing two hypothetical patients who are being denied treatment based either on their presumed 'responsibility' for their illness and/or their inability to pay for care. 7p., 11f., 7b.
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$49
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12447. EVALUATION AND CRITIQUE OF THREE EXERCISE CLASSES. This paper evaluates and critiques three different exercise classes (one high-impact aerobics, one low-impact water aerobics, one special population dance aerobics). Each class is analyzed in terms of class organization, safety, music, instructor, and facility. Includes a summary analysis of feedback to instructors. 17p., 15f., 12b.
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$119
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12446. MAXIMIZING YOUR BODY POTENTIAL. Presents the results of a project aimed at maximizing body potential. The project entailed assessing current physical fitness, developing a personalized exercise program, assessing eating behavior, identifying problems in diet, and developing tactics for behavior modification for two people, one middle-aged female and one middle-aged male. 14p., 12f., 5b.
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$98
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12285. THE PHYSIOLOGICAL BASIS OF AMNESIA. Reviews research (experimental and case investigations) on the physiological basis, anatomical correlates, and behaviors associated with non-psychogenic amnesia. Defines anterograde versus retrograde amnesia, discussing their relationship and their differences. Traces recent trends and significant findings in 24 neuropsychological research studies. 15p., 42f., 28b.
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$105
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12242. DISTRIBUTING THE BENEFITS AND BURDENS OF MEDICAL RESEARCH. The essay argues that the benefits (e.g., information, drugs, professional care) and the burdens (e.g., being a research subject, being subject to the requirements and coverage limitations entailed within managed care programs and HMO's) of taxpayer-funded medical research in the United States should be distributed primarily in accordance with egalitarian accounts of justice which place emphasis on equal access to the goods in life that every rational person values. 5p., 6f., 2b.
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$35
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12241. ETHICAL ISSUES IN PHYSICIAN-ASSISTED DYING. This essay argues that while it is possible to justifiably make moral judgments about the moral rightness or wrongness of the acts performed by physicians who illegally engage in either voluntary active euthanasia or assisted suicide, such judgments must be made on a case-by-case basis and are fundamentally influenced both by the autonomy, physical health and wishes of the patient as well as by the underlying motivations and specific actions of the physicians. 5p., 10f., 2b.
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$35
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12240. ALCOHOLIC FAMILIES: DOES HEREDITY PLAY A ROLE? This paper reviews the literature on the hereditary etiology of alcoholism. Concludes that the evidence provided by twin and adoption studies, as well as more recent evidence culled from genetic research, makes a strong case that heredity plays an important role in an individual’s propensity towards alcohol abuse and alcoholism. Keywords: alcoholism causes genetic family. 7p., 12f., 10b.
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$49
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12238. DR. KEVORKIAN AND THE ETHICS OF ASSISTED SUICIDE. Examines the religious and social issues of assisted suicide, focusing on Dr. Jack Kevorkian. Legal, moral, and professional ethics of helping suicide are discussed. 6p., 7f., 6b.
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$42
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12237. MEDICARE: PAST, PRESENT AND FUTURE. This paper provides a review and assessment of Medicare. The analysis reviews the history and intent of the Medicare legislation; examines its impact in terms of beneficiaries, health care providers and the health care system in general; considers the extent to which it has fulfilled its original purpose; analyzes the unintended consequences of the legislation; assesses its problems and their impact on particular interest groups; and considers likely steps toward reform and further legislation. 23p., 69f., 34b.
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$133
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12236. MORAL REQUIREMENTS FOR AUTONOMY AND THE CASE OF BARNEY CLARK AND THE ARTIFICIAL HEART. Are the more requirements of respecting the autonomy of all persons universally applicable in all cultures, or are they restricted to the culture(s) in which they heave been explicitly adopted? Through an analysis of a medical ethics case concerning Barney Clark, the first patient to have an artificial heart transplanted "and live to tell about it," this paper argues that these moral requirements are universally applicable. 5p., 7f., 2b.
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$35
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12203. BUBONIC PLAGUE: THE BLACK DEATH. A description and short history of the bubonic plague epidemic of 1347-1351. The disease, mortality rates, and social and economic effects of the epidemic are reviewed. 11p., 22f., 6b.
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$77
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12159. OSHA REGULATIONS ON WORKER ILLNESS & INJURY PREVENTION: A CASE ANALYSIS OF THE HOSPITALITY INDUSTRY. This paper presents an overview and analysis of current and proposed OSHA standards and guidelines on employee illness and injury prevention, with specific attention to its application in the hospitality (hotel and restaurant) industry. Following a brief overview of OSHA and its legal authority over worker safety and illness/injury prevention, the analysis examines the basic requirements of an employee illness and injury prevention program within the hospitality industry. In addition to examining the current requirements related to hazardous materials, worker safety issues, bloodborne pathogens, and other issues, the investigation also assesses the implications for the hospitality industry related to proposed standards on indoor air quality, ergonomics, and workplace violence. 11p., 34f., 21b.
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$77
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12127. SOCIAL RESPONSIBILITY IN THE PHARMACEUTICAL INDUSTRY. This paper investigates social responsibility (or the lack thereof) within the pharmaceutical industry, looking specifically at issues surrounding research and product development, pricing, and marketing. Concludes that the industry has met its social obligations (as defined by Friedman) of profit maximization, but has failed to meets its social responsibility to develop and market safe and effective products at a price which does not deprive major segments of the population from effective medical treatment. 10p., 36f., 22b.
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$70
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12059. HUMAN IMMUNITY AND NUTRITION. Through a qualitative review of the current literature on human immunity and nutrition, this investigation makes the case that good nutrition and a healthy diet strengthen the immune system. Considers five major themes: 1) the general relationship between nutrition, diet and the human immune system function; 2) nutrition and infection; 3) nutrition and immune function in the elderly; 4) nutrition in cancer prevention and treatment; and 5) nutrition in the modulation of the immune response in HIV and AIDS. A 6-page, 42-item annotated bibliography follows the text. 33p. 153f. 42b.
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$133
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12058. THE ORGANIC BASIS OF MISIDENTIFICATION SYNDROMES: REDUPLICATIVE PARAMNESIA AND CAPGRAS SYNDROME. Reviews the current neuropsychiatric literature on reduplicative syndromes - focusing on Capgras and reduplicative paramnesia (RP) - examining their underlying pathology and assessing current models of etiology. Provides an overview of the case literature on the definitions, classifications, and pathological features of these syndromes. Looks at the theoretical and empirical literature investigating the etiology of the syndromes, focusing particularly on organic explanations. 13p., 53f., 23b.
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$91
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12057. ASBESTOS: MEDICAL, LEGAL & REGULATORY ASPECTS. Following a brief historical background on the composition and applications of asbestos, this paper considers the major medical, legal and regulatory issues surrounding asbestos use and asbestos-related disease. Includes discussion of major asbestos-related diseases, consideration of significant asbestos product liability cases (including Manville Corp.) And discussion of OSHA and other federal regulations on asbestos exposure and asbestos abatement. 17p., 48f., 20b.
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$119
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12056. RATING A COMPANY'S HEALTHCARE PACKAGE. Provides a thorough analysis of an institution's (private university/medical center) employee health care package, considering both employer and employee needs. Points out the shortcomings of the plan and makes recommendations for modifications. 22p., 24f., 24b.
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$133
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12055. DESIGNING A WELLNESS PROGRAM FOR A 500-EMPLOYEE CORPORATION. Designs an employee health promotion - or "wellness" program - for a hypothetical company with 500 employees, two-thirds of whom are classified as blue collar. The paper begins with an "overture to management" which presents the basic rationale and argument in favor of implementing a wellness program as well as a general overview of sample components of typical programs. The analysis then proceeds step-by-step through the planning, design, and implementation stages of the program. 13p., 45f., 28b.
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$91
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12054. THE ADVANTAGES AND DISADVANTAGES OF VEGETARIANISM IN TERMS OF HEALTH. Defines different types of begetarians and gives various reasons why people turn to the diet. Covers advantages (less fat, fewer calories, more fiber) and disadvantages (protein and vitamin deficiencies). Argues that vegetarianism is good for one's health as long as precautions are taken to make sure the body receives an adequate amount of nutrients. 11p., 32f., 6b.
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$77
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12053. A PERSONAL PERSPECTIVE ON HEALING AND THE HEALER. Describes and assesses Barbara Sullivan's (1989) approach to psychotherapy and then demonstrates, via a review of the literature, how Sullivan's approach applies to the writer's own emerging style of working with patients. Considers and offers opinion on what constitutes healing, how one works as a healer, how healing is manifested and fostered, and who and what are healed. 10p. 27f. 6b.
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$70
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11979. TOBACCO COMPANIES AND THE ETHICS OF MANUFACTURED ADDICTION. This paper analyzes the ethical crisis within the tobacco industry surrounding nicotine addiction. Following an overview of the evidence on the nicotine's addictiveness (via manipulation of nicotine level in cigarettes to keep smokers hooked), the concluding analysis considers the ethical implica | |