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Provider 1997 corporate profiles.

As the long term care industry seeks out new products, new solutions, and new ways of providing quality care, it is important for long term care providers to know more about the companies they do business with. The following corporate profiles showcase information about leading companies in the long term health care industry. Some of the areas highlighted include: mission of company, history, product lines, support services. We hope you will find this information useful when making purchasing decisions, and we're confident you'll keep this issue of Provider as a handy reference guide. The information in the following corporate profiles was supplied by the companies. Neither Provider magazine nor the American Health Care Association endorses the products and services listed in this section. Provider magazine and the American Health Care Association disclaim any and all liability related to or arising from the information contained in the profiles.

Catalogs, Commercial as Topic↗

Team-based organization: the fruits of employee empowerment.

Tennalum, a division of Kaiser Aluminum, received the 1995 Shingo Prize for Excellence in Manufacturing. The plant also received the 1995 Tennessee Quality Achievement Award, the criteria for which are based on the Malcolm Baldridge National Quality Award. In 1994, Tennalum received the Clemson University's 21st Century Organizational Excellence Award, 33 Metal Producing Magazine's T.O.P. Award, and the Tennessee Quality Interest Award, and it was a finalist in Industry Week magazine's Top 10 Plants in America. Tennalum also earned ISO-9002 certification during that year. This article explains how Tennalum's people work together as self-directed work teams in an atmosphere of empowerment, involvement, and continuous improvement that translates into outstanding performance results.

Employment↗

The need for continuing education of the prescriber.

The Millennium will be seen as an important time of change in the doctor-patient relationship. Until very recently, many patients, male and female, expected not only advice from their doctor, but also to be told which treatment would be best for them. This paternalistic approach, however, is rapidly disappearing. Nowadays, early post-menopausal women expect to make decisions about their treatment, after being fully informed of all the possible benefits and risks. Provision for this requires the doctor to keep abreast of the literature. Occasionally, new data are released that challenge established beliefs. It was thought, for example, that hormone replacement therapy (HRT) would reduce the risk of coronary heart disease. This still applies to apparently fit and healthy women but data from the Heart and Estrogen/progestin Replacement Study (HERS) have shown that the use of HRT in women with established risk factors for coronary heart disease increases mortality in the short term. A protective effect of HRT on the risk of coronary heart disease was not observed until after 2-3 years of treatment. Patient access to medical information has been revolutionized during the last decade. The availability of books, magazines and newspaper articles, which have always been an important source of patient information, has greatly increased. In addition, the Internet has transformed patient knowledge. According to surveys, these forms of communication provide the major source of information for 50% of women seeking advice about HRT. Indeed, the patient is often aware of the latest medical information before her doctor, possibly because she has more time. With such a large readership, these forms of communication have to report accurately. Unfortunately, they frequently do not and errors in reporting change the emphasis of a piece of medical research. The result is women are frightened and continuance suffers. It is worth remembering that 'bad news', suitably publicized, sells more newspapers and magazines than 'good news'. Competition is growing for 'alternative' products. 'Natural' treatments are 'in'. These treatments are widely claimed to reduce menopausal complaints in older patients and patients are keen to take them. But where is the evidence of efficacy and safety from robust and rigorous studies? All too often it is lacking. The doctor therefore has to advise the patient accurately about products for their treatment, and may also have to provide an opinion on 'alternative' remedies. Knowledge of alternative medical literature is therefore becoming essential. If doctors wish to continue to be respected by patients, they must remain knowledgeable and communicate their knowledge in an unbiased manner. They must emphasize the benefits and risks of different treatments according to the concerns of the patient. Failure of the doctor to provide this service will result not only in loss of respect, but alas, too often, in medico-legal consequences.

Attitude to Health↗

[Scientific agriculture in the nineteenth century Murcian press as seen by local authors].

This article studies the writings on agriculture published by local authors in the cultural and scientific press in the Region of Murcia during the second half of the nineteenth century. All magazines of the period were reviewed, and the most important information from ten of them, published between 1865 and 1898, was extracted. The articles in these magazines defended three main ideas: the use of chemical fertilizers, the recourse to other sciences (such as meteorology and electricity) within agriculture, and the need to renovate and improve traditional agricultural industries (silk and esparto). But the measures proposed by local scientists did not have the desired impact on the landowning class.

Agriculture↗

The introduction of the metric system in Dutch medicine 1820-1880.

The Netherlands went metric in 1820 and the medical sciences were supposed to follow suit, except for apothecaries weight, which was very close to the Anglo-Saxon variant and was not abolished before 1870. Doctors and pharmacists had opposed metric weights in pharmacy in 1820 because they were afraid of errors that could lead to loss of life. On the continent old local and Paris units were used in general medical science. It took many decades for the metric system to become predominant in trade and daily life. The same slow acceptance was reflected in the medical sciences. Before it began to make tentative inroads, the metric system was entirely ignored for at least 15 years by the Dutch medical professions. Articles and other texts in medical magazines illustrate this. The slow advance of metric was also hindered by international, especially German influences. The other European nations began to go metric from 1840 onwards and France was the first to do so. Under Napoleon Bonaparte France had reverted to old units for daily life and retail trade in 1812. When Germany, a nation with a profound influence on Dutch medical science, went metric in 1870, the ultimate collapse of the old units began. Their presence in magazines dwindled and branches of medical science such as obstetrics and ophtalmology went metric; the former changed slowly and without planning, the latter went metric after an international agreement in 1866.

History, 19th Century↗

[What messages did the Norwegian tobacco industry communicate to consumers in its advertising?].

BACKGROUND: A Norwegian official report, NOU 2000: 16, Tort liability for the Norwegian tobacco industry, concludes that Norwegian law and judicial practice allows lawsuits against the tobacco industry for damages. A crucial claim in such suits would be that the industry withheld information on health risks and addiction and instead used advertising messages that undermined the information campaigns initiated after the reports on smoking and health from the U.S. Surgeon-General and the Norwegian Board of Health in 1964. This article reports a study of differences in tobacco advertising in Norway before and after 1964. MATERIAL AND METHODS: A total of 1,945 photographs of advertisements in two popular weekly family magazines over the 1955 to 1975 period were stored in a database along with information on date of publication, size, copy and message, presumed target group, and characteristics of persons and situations shown. RESULT: Up until 1964, advertisement space per year in these magazines totalled 100 dm2 (11 sq. feet). The amount of advertising space then increased up until 1973, to 2,033 dm2 (219 sq. feet). The share featuring women went up from 33 in the 1955-64 period to 62% in 1965-75, when 51% of advertisements showed women smoking while 31% showed men smoking. Pre-1964 advertisements primarily contained information to smokers on price, type of tobacco, packaging and country of origin; after 1964 the advertisements developed a more universal appeal associating smoking with various social situations marked by style, well-being and comfort. The tobacco was said to be pure, fresh, mild and natural, and the filter was claimed to have protective properties. INTERPRETATION: It is probable that the cognitive dissonance created by more health information on smoking after 1964, i.e. the necessary motivation to quit, was reduced as a result of strategic changes in the amount and content of advertising.

Advertising↗

Research, CME, media relations boost diabetes center's profile.

For Boston's Joslin Diabetes Center, media relations rather than formal advertising is the key to a high-profile image. The communications office targets newspaper, magazine and TV reporters and editors with public service announcements and news about research and clinical care advances. Other successful tools include a high-end quarterly magazine, a fact-filled information kit, disease-specific support programs and a catalog of educational materials.

Advertising↗

China. Population. New threat.

Although China's population growth rate in 1980 was the lowest in 31 years, doubling of marriages and increasing life expectancy have emerged as threats to the government plan to hold national population growth to 1200 million by the end of the present century, a Beijing official magazine reported. Liaowang (Observation), published by the government's Xinhua news agency, quoted state family planning officials as saying that a subsequent doubling of marriages this year "threatens another baby boom in the world's most populous nation." The officials said the country's population stood at 982.55 million at the end of 1980, roughly equivalent to 20% of the world's total. According to the magazine, the natural population growth rate declined to 8.97 million last year as the number of births fell to 14.99 million and that of deaths stood at 6.02 million. During the past decade, the natural increase rate of China's population dropped from 26/1000 in 1970 to just 12/1000 in 1980. Owing to increase in production and living standards, along with expansion and improvement of medical facilities, the mortality rate fell from almost 30/1000 before the founding of the People's Republic of China to around 6-8/1000 by the 1970s. According to U.N. statistics prepared for the recently-held international conference on population and development in Beijing, China succeeded in reducing its birth rate by as much as 23.1% between 1960-65 and 1970-75. But such accomplishment is now in danger of being wiped out by a new birth peak expected during the next 10 or more years as those born during the baby boom of the 1960s reached childbearing age during the present decade. In addition, the population control program is also threatened by the rising life expectancy of the Chinese people. Latest statistics compiled by the Ministry of Public Health showed that the average life span of the Chinese population had doubled to 68 years in 1980 from 35 years in 1949.

Asia↗

Liposomes.

Robert Posner has 40 years of experience in skin care bench chemistry, product development, and sales and marketing. Working closely with dermatologists and plastic surgeons, Posner is a former member of the NY State Hospital Pharmacists Association, the American Pharmaceutical Association, and the American Association of Hospital Pharmacists. Currently, Posner sits on the Board of Directors of EMDA (Esthetic Manufacturers and Distributors Association). Posner has written numerous articles for Les Nouvelles Esthetiques Magazine, is presently a consultant for Day Spa Magazine, and had been one of only two non-dermatologists on a consultant basis with Cosmetic Dermatology Journal. Posner's company--ABBE Cosmetic Group International in Farmingdale, NY--formulates and manufactures skin care products for many well-known companies in the beauty industry. For many years, both the bench chemist and the dermatologist have been concerned with developing an ideal base for deliverance of 'actives' to the human epidermis. As is common knowledge, the skin is a protective organ which allows very few materials to penetrate. Some bases are unable to work effectively because of their relative inability to penetrate the stratum corneum; for example, some notable actives such as collagen and elastin are molecules too large to penetrate effectively. With the liposome at our command however, we can carry and then release an active into several layers of epidermis. We can release both oil- and water-soluble actives, and at the same time control the feel and effectiveness of a topical application. This article will examine the liposome: what it is, how it works, and how products made with liposomes can benefit dermatology.

Chemistry, Pharmaceutical↗

[Bibliometric study of original articles in the Revista Española de Salud Pública (1991-2000). Part II: authors' productivity, their institutions and geographical areas].

BACKGROUND: When characterizing a scientific journal from the bibliometric standpoint, it is of importance to know how many authors were involved in the studies published as well as the geographical areas where these authors are located and the type of institutions by which they are employed. The aim of this article is that of analyzing the geographical spread of these authors and the institutions by which they are employed, as well as its evolution as regards the original articles published in the Revista Española de Salud Pública throughout the 1991-2000 period. METHODS: Of the original articles published in the Revista Española de Salud Pública throughout the studied ten-year period, a calculation has been made as to the total number of authors, the number of occasional authors (authors having published solely one article), transitivity index, the ratio between the number of male and female authors, the productivity of the authors and their institutions and the spread of authors and the institutions by which they are employed by Autonomous Communities. RESULTS: Of the original articles published in the Revista Española de Salud Pública throughout the 1991-2000 period, a total of 1,052 different authors were involved, 1,000 of whom were Spanish and 52 foreigners. The ratio of male authors to female authors for the period in question was 1.29. The Autonomous Communities from which the largest number of authors came were Community of Madrid (16.3%), Andalusia (13.4%) and the Community of Valencia (12.5%). The institutions by which the authors are employed are located most often in Community of Madrid (16.5%), in Community of Valencia (11.3%) and Andalusia and Catalonia (10.5%). A total of 37.6% of the authors work at centers devoted to health care, followed by authors who work at Universities (26.3%). On calculating the spread of the type of institution by Autonomous Communities, in the Community of Madrid and in the Community of Valencia and Andalusia, the most frequent institution is that of the primary care centers (50%, 43.3% and 28.6% respectively); and in Catalonia the specialized care centers (42.9%). CONCLUSIONS: The Revista Española de Salud Pública is a scientific journal well known in the whole spanish territory and in the Latinoamerican countries. The productivity of the authors publishing in this journal, the productivity of their institutions where they work and that of Autonomous Regions where they belong to, is similar to other magazines. The productivity of the authors is greater when we look at other public health magazines or other countries.

Bibliometrics↗

[Advertising, advertising legislation and health].

The media and specifically magazines and sunday supplements contain advertisements, some of which can be dangerous to one's health. We have investigated these types of advertisements, which were included in the 15 top sales magazines in Spain. The period of analysis corresponded to the period april-may, 1991. We have compared the results obtained with the results of a previous investigation carried our in 1987, using an identical method. We have tried to test if the so-called Law of Publicity of 1988 has had any effect on publicity. We have found, 1383 advertisements that could have a damaging effect on one's health. Although the total number of advertisements have decreased over this four year period, the law has hardly produced any influence on publicity, and we have found breaking of the law in the investigated material.

Advertising↗

Neuroscience was not even a word: an interview with Floyd Bloom.

Floyd Bloom says that he grew up, surrounded by doctors and pills, in a drug store in Dallas, where his father and uncles were pharmacists. He is a natural storyteller, readily recalling the people and events that have shaped his career. His narrative skills were apparent as early as high school, where he was encouraged, partially on the basis of aptitude tests, to pursue a career in journalism or public relations, and to stay away from hard subjects like math and science. In college, he majored in German literature, although he pursued premedical studies in accordance with his father's wishes. During his medical school and residency experiences in St. Louis, he recounts, he always attempted to carry in his mind an organized way of explaining his academic and clinical activities to the professors and attending physicians that might quiz him. His subsequent research into the central nervous system similarly benefited from his ability not only to anticipate and formulate questions, the answers to which often required the development of new methods, technologies, and alliances, but also to place his findings in novel contexts where they could be conceptually appreciated and utilized. The prospect of telling good scientific stories was one of the factors that later drew Bloom to the position of Editor-in-Chief of Science magazine (1995-2000). While there, he was instrumental in widening the contexts in which the magazine presents science, and in shaping the ways that scientific information is electronically disseminated across the globe. Currently on sabbatical from Scripps, Floyd Bloom continues to explore, as CEO of a startup company in La Jolla, the entrepreneurial contexts in which his own research can be applied.

History, 20th Century↗

[Assessment of mothers' knowledge about breastfeeding].

OBJECTIVES: The aim of this study was to assess the level of knowledge of problems referring to breastfeeding among women in childbirth. MATERIALS AND METHODS: The study was based on a questionnaire, which consisted of 20 questions with multiple choice answers. 108 women in puerperium were surveyed-54 in the Obstetrical Ward in Puck and the same number in the I Clinic of Obstetrics and Gynaecology in Warsaw. The results were analysed according to age, education and attendance to labour school. Statistical analysis was performed afterwards. RESULTS: For all the surveyed women, breastfeeding is a natural need and an important element of the emotional bond with a newborn. For 78.7% of the women questioned, the priority of breastfeeding was the health of their baby, 16.7% point to the advantages of the optimal composition of human milk, 37% of mothers found breastfeeding convenient. On the other hand, 37% consider artificial milk only a substitute. For 60% of women magazines were the source of education, books 53.7%, acquaintances and family 32.4%. Only a small percentage (24.1%) of women took advantage of labour classes, although it is an extremely successful method of teaching. 17.6% of women were not looking for any information about breastfeeding during the pregnancy. CONCLUSIONS: Differences in preferences and level of knowledge between women from big and small centre were shown, although there was no difference in access to it. Magazines and books, not medical staff, were the most popular source of information. The level of knowledge depends on education and labour class attendance. It seems that the system of lactational guidance should be extended on obstetrical wards, concentrating especially on women with poorest education.

Adult↗

Comparison of planning and using free time among students of the Faculty of Pharmacy and the Faculty of Nursing and Health Sciences.

The work presents a research of the group of third year students from two faculties of the Medical University in Lublin. The aim of the research was find out the correlation and differences in the ways of managing and using the so-called 'leisure time'; in relation to stable factors, as well as the system and the direction of studies and environmental factors, dependent on the influences of the psychosociological surrounding. 114 students of the Faculty of Pharmacy and also 55 daily and 51 extramural students of the Faculty of Nursing and Health Education were examined. It has been stated that students of the Faculty of Nursing and Health Education devoted most of their time to house work, reading books and magazines and watching TV, which differentiated them from pharmacy students. Daily students of both faculties in comparison with extramural students spent more time on listening to the radio, going to the cinema or taking part in social meetings. Daily students of the Faculty of Nursing and Health Education devoted more time to sport, walking, reading books and magazines, hobbies and going to the theatre, opera, museum, concerts and exhibitions, not only in comparison with the extramural students, but also with the pharmacy students. A few students showed interest in part-time work during the academic year, although their number rose during the period of holidays, especially among daily students of the Faculty of Nursing and Health Sciences. On the basis of the research it was stated that the way of managing and actual spending of leisure time was influenced by the direction of studies, family situation and sex of the examined students.

Adult↗

["Diary of health of every estate" and children's issues].

L. Lafontaine's "Diary of Health for Every Estate" including children's issues was being published from 1801 to 1802. It was the first Polish magazine addressed to the whole society. In its author's opinion this magazine was to propagate rules of hygiene, sanitary education and inform about methods of proceeding in different cases. Lafontaine devoted a lot of attention to sickness affecting mostly the poor and uneducated. He was the first to mention the problem of sick children. In articles, he refer to naturalism and Locke's and Rousseau's ideas. He mentioned and described defects, symptoms and children's illnesses from birth till adult. He talked over rules of physical behaviour and indispensable remedies for treatment in home. He was the man of merit in trying standardization of medical onomastics creating basis to develop independent paediatrics science.

Adolescent↗

[Sources of women's education about the puerperium and breast feeding].

Future parents have a wide range of possibilities in gaining theoretical knowledge from books, magazines, relatives' advice, doctor or midwife' consultations in outpatient clinics. The most professional ways of getting skills in that matter are birth schools. The aim of this study was to analyze the sources of knowledge about puerperium and breast feeding at birth schools in comparison to mothers who did not attend such training. The study was undertaken in the Department of Obstetric and Perinatology in Szczecin. Group I (investigated) consisted of 129 women who finished birth school training course and group II (control) consisted of 165 women with no formalized prenatal education. A questionnaire and medical histories were used in our analysis. The results showed that the birth school attendants were more likely to use a lot of education sources in the field of breast feeding and that some law aspects in puerperium and puerperium pathology need more attention because books and magazines are the main source of knowledge in that matter instead of birth schools classes.

Adult↗

[Comparative bibliometric study of the publications in Spanish and other European publications].

INTRODUCTION: Investigation in biomedicine carried out in Spain presently has a good level and has evolved positively in the last two decades. In order to know the research situation in psychiatry, the bibliometric study was used as a method of approach to the mentioned analysis. OBJECTIVES: To identify the Spanish scientific production in psychiatry during the last decade, its repercussion worldwide and to compare it to other countries of our surroundings. METHOD: Bibliographical revision of the psychiatric magazines with greater impact factor at present. Thematic magazines of psychiatry and other areas (child and adolescent psychiatry and the addictions) are reviewed. The articles of Spanish authors were analyzed and compared with other countries of the surroundings (Germany, France, Holland, Italy and Sweden). The data obtained are linked with the economic data of the countries in question, it being possible to obtain how much each one of the investigations in the diverse countries cost per citizen. RESULTS: Globally, the countries analyzed have increased their international scientific production and, specifically, Spain has doubled its scientific activity in psychiatry. CONCLUSIONS: Investigation in psychiatry in Spain is represented in publications of greater impact factor of the speciality and is comparable in volume to the other countries of our surroundings.

Bibliometrics↗

Direct-to-consumer print ads for drugs: do they undermine the physician-patient relationship?

BACKGROUND: Critics of direct-to-consumer print advertising for drugs (DTCA) contend it alters physician-patient communication by promoting greater patient participation and control. We assessed the nature of messages in print DTCA to identify potential guidelines they may provide to consumers for communicating with physicians. METHODS: We analyzed all unique advertisements (ie, excluded ads repeated across issues or magazines) in 18 popular magazines (684 issues) from January 1998 to December 1999 (n=225). We identified every statement that referred to physicians, and within that set, statements that focused on physician-patient communication. Each communication-related statement was coded as a message to consumers about communication in terms of cues suggesting who should initiate communication, who should be in relational control, and appropriate interaction topic(s). RESULTS: More than three-quarters (83.8%) of the advertisements' statements referring to physicians focused on physician-patient communication (M=2.6 per ad; SD=1.8). Most (76.1%) of these messages explicitly or implicitly promoted consumers initiating communication, but cast the physician in relational control (54.5%). The most frequently suggested interaction topics were clinical judgments of the product's appropriateness (41.8%) and information about the product (32.1%). CONCLUSIONS: Typical direct-to-consumer print ads contain multiple messages about communicating with physicians. The patterned nature of these messages appears to promote social norms for consumers' communication behavior by repeatedly implying the appropriateness of consumers initiating interaction, physicians maintaining relational control, and avoiding negative consequences of advertised drugs as conversational topics.

Advertising↗