Improving lives through information.
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Biomedical subjects
Publications and source records attributed to K Davis.
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Many nations have undergone changes in health care financing and services. The public notices policy changes in health care and frequently bears new and unexpected costs or barriers to care unwillingly. This paper presents data from surveys of about 1,000 adults conducted during April-June 1998 in each of five countries--Australia, Canada, New Zealand, the United Kingdom, and the United States--to measure public satisfaction with health care. In no nation is a majority content with the health care system. Different systems pose different problems: In systems with universal coverage, dissatisfaction is with the level of funding and administration, including queues. In the United States, the public is primarily concerned with financial access.
This paper reports 1999 survey results on the population age sixty-five and older in five nations--Australia, Canada, New Zealand, the United Kingdom, and the United States. The majority of respondents were generally satisfied with the quality, affordability, and availability of health services in their nations. In many measures of access to and cost of care, the United States looks much like the other nations surveyed. However, as the elderly view their health systems, the direction they have taken in recent years with respect to caring for the elderly, and the future affordability of care in old age, U.S. respondents tended to be more pessimistic than were those in other nations.
Interest is resurging in the problems relating to the quality of patient care. This paper provides a comparative perspective on this issue from a five-country physician survey conducted in Australia, Canada, New Zealand, the United Kingdom, and the United States in 2000. Physicians in all five countries reported a recent decline in quality of care and concerns with how hospitals address medical errors. Physicians in four countries expressed serious concerns about shortages of medical specialists and inadequate facilities. U.S. physicians reported problems caused by patients' inability to pay for prescription drugs and medical care. Asked about efforts to improve quality of care in the future, physicians indicated support for electronic medical records, electronic prescribing, and initiatives to reduce medical errors.
HSP27 levels are elevated in two Chinese hamster cell lines and in a human melanoma cell line adapted to growth at pH 6.7. The level of HSP72 is elevated in the melanoma cell line but not in the hamster cell lines adapted to growth at pH 6.7. HSC73 levels are not elevated in any of the adapted cell lines. Low pH adapted cells from all cell lines are resistant to cisplatin. It is proposed that elevated HSP27 levels in low pH-adapted cells may play a role in resistance to hyperthermia and resistance to cisplatin.
Even though hospitals across the country are facing tremendous financial pressure, a change in educational focus can offer a positive and exciting outcome. In this climate, educational productivity demands a clear sense of the mission of education as well as the strategic plans of the organization. To survive, educators must be responsive to meeting goals for staff performance and envision themselves as change agents.
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Parent support groups in acute care settings can provide families of hospitalized children with opportunity to share emotions and concerns related to the crisis experience of hospitalization with others who are experiencing similar situations. The Nugent Model of Family Support combines several concepts of caring, empowerment and family efficacy into a practical framework that clinicians can use in providing and evaluating outcomes of an acute care based parent support program.
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Noninvasive evaluation of the human body has become an essential tool in the diagnosis of disease processes. Recent developments in nuclear magnetic resonance imaging (MRI) have extended a powerful chemical analytic technique to the medical imaging field. This article presents the fundamental principles of MRI in terms of the concept of transmission and reception of energy. The physical principles of spin resonance are discussed in Part I. Spin relaxation and pulse sequences will be examined in Part II and III. A selected bibliography directs the reader to a more detailed discussion of the pertinent physics.