College responds to Medicare physician payment issues. Part III: Assistants at surgery and physician participation in Medicare.
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Biomedical subjects
Publications and source records attributed to P Parks.
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The purpose of this experimental study was to determine the effectiveness of teaching primiparous mothers about infant behavior. Experimental mothers (n = 17) received a teaching intervention representative of the Brazelton Neonatal Behavioral Assessment Scale when their infants were 2 weeks old; contrast mothers (n = 16) completed a Newborn Information Checklist about infant behavior at home two weeks postnatally; control mothers (n = 13) received neither teaching nor a checklist. At a 4-week postnatal office visit, experimental mothers had more knowledge about infant behavior than either the contrast or control mothers. There was no difference among the groups regarding maternal confidence in interpreting behavioral cues of their own infant. Contrast mothers reported wanting information about topics included in the teaching intervention.
A telephone interview of 1256 adults age 18 and over was conducted using a random digit dialing procedure. Participants were queried about their perceptions of being at risk for contracting the acquired immune deficiency syndrome (AIDS), optimism-pessimism about the controllability of the epidemic, whether they take special steps to avoid catching AIDS, and how they would prioritize three possible courses of action. The sample was about evenly divided between optimism and pessimism about controlling AIDS within five years; 10% perceived they were at least at some risk of contracting AIDS (with such "at risk" persons overrepresented among residents in the east, among college graduates, and within the 30-39 age bracket). Forty-one percent indicated taking special steps to avoid AIDS, with higher percentages of Blacks, Hispanics, and persons under age 30 reporting such precautions. Personal preventive action was ranked first among the three possible courses of action by 51%, unlimited governmental spending to find a cure or vaccine and governmental restrictions of certain homosexual behaviors were each ranked first by about 20% of the respondents. The results also indicated that perception of being at risk mediates some opinions about AIDS.
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The Brazelton Neonatal Assessment Scale (BNAS) was administered to 19 newborns, and their fathers completed the Broussard Neonatal Perception Inventory (NPl-l); at 1 year of age, the infants' fathers and mothers completed the Perception of Baby Temperament (PBT) scale. The 19 infants were first born, full-term, and the result of normal, vaginal deliveries. Relationships were found between examiner-reported temperament (BNAS) and both father- and mother-reported temperament at 1 year (PBT). Fathers were sensitive to the physical dimension of temperament and mothers were sensitive to the adaptive dimension. Three father-reported newborns behaviors (NPl-l) were related to father-reported temperament at 1 year (PBT). Little relationship between father- and mother-reported temperament (PBT) was found when infants were 1 year of age. Findings can be used to plan future research on newborn behavior, parental characteristics, and parental perceptions of 1-year-olds' temperaments.
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Student nurses were asked to consider a 10-year-old male clinic patient with urinary tract infections when responding to the Children's Rights Attitude Scale. Participants were also informed that the child's parents reported symptoms and complied with treatment. Attitudes were more favorable toward extending rights to receive health services than they were toward extending rights to make health-related decisions. The more concerned student nurses perceived the child's parents to be, the less willing they were to extend rights for special health services. Participants can be expected to be advocates for child health services but not for children's rights to act on their health decisions.
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