...form of health care insurance. The question is what can be done about it? The answer is neither easy nor clear cut. In 2010, the Patient Protection and Affordable Care Act (PPACA) of 2010—commonly called the Affordable Care Act (ACA) or Obamacare, after its major backer, US president Barack Obama—sought to reform a number of aspects of the US health insurance industry, as well as improve the access to and quality of health care services. Keywords Americans with Disabilities Act; Best Practice Protocols; Fee for Service System; Grassroots Activism; Gross Domestic Product; Industrial Democracy; Managed Care; Medicaid; Medicare; Single-payer System; The Pepper Commission; The Rehabilitation Act - Bill 504 Health Care Reform in the U.S. Overview Health care is very much on the minds of Americans. Former presidential candidate Hillary Rodham Clinton made health care her platform and insisted that universal health care is achievable. Although affordable health care for everyone sounds like a positive step forward, the American public was not sure enough of that statement to support her election as president. The American health care system is bound to the insurance industry and has always been a fee for service system. To add to the dilemma, universal health care does not have universal support of the American people or the medical profession. Further Insights Managed Care Managed care was an initiative in the private sector to address the spiraling costs of medical care, created...
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...Annals of Internal Medicine Clinical Guidelines Screening Mammography in Women 40 to 49 Years of Age: A Systematic Review for the American College of Physicians Katrina Armstrong, MD, MSCE; Elizabeth Moye, BA; Sankey Williams, MD; Jesse A. Berlin, ScD; and Eileen E. Reynolds, MD Background: The risks and benefits of mammography screening among women 40 to 49 years of age remain an important issue for clinical practice. Purpose: To evaluate the evidence about the risks and benefits of mammography screening for women 40 to 49 years of age. Data Sources: English-language publications in MEDLINE (1966 – 2005), Pre-MEDLINE, and the Cochrane Central Register of Controlled Trials and references of selected studies through May 2005. Study Selection: Previous systematic reviews; randomized, controlled trials; and observational studies. Data Extraction: Two independent reviewers. Data Synthesis: In addition to publications from the original mammography trials, 117 studies were included in the review. Metaanalyses of randomized, controlled trials demonstrate a 7% to 23% reduction in breast cancer mortality rates with screening mammography in women 40 to 49 years of age. Screening mammography is associated with an increased risk for mastectomy but a decreased risk for adjuvant chemotherapy and hormone therapy. The risk for death due to breast cancer from the radiation exposure involved in mammography screening is small and is outweighed by a reduction in breast cancer mortality...
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...ZIMBABWE P.O. BOX MP167 MT PLEASANT HARARE Tel 303211 ext 1301 E-mail: mumvuma@sociol.uz.ac.zw or tmumvuma@mdpesa.org Mr. CHARLES MUJAJATI DEPUTY DIRECTOR-ECONOMICS MINISTRY OF FINANCE & ECONOMIC DEVELOPMENT FISCAL & ECONOMICS DEPARTMENT PRIVATE BAG 7705 CAUSEWAY HARARE E-mail: cmujajat@mweb.co.zw Mr. BERNARD MUFUTE MANAGER: ECONOMIC RESEARCH & POLICY INTERVENTION CONFEDERATION OF ZIMBABWE INDUSTRIES P.O. BOX 3794 HARARE E-mail: bmufute@czi.co.zw 1 CONTENTS LIST 1 Introduction 2 Pre-Reform Policy Regime 3 An Overview of Major Economic Reforms in Zimbabwe 3.1The Economic Structural Adjustment Programme (ESAP): 1991-1995 3.1.1 Trade Liberalization 3.1.2 Domestic Deregulation 3.1.3 Financial Sector and Monetary Policy Reform 3.1.4 Fiscal Policy and Tax Reform 3.1.5 Labour Market Reform 3.1.6 Public Enterprise Reform 3.2 Zimbabwe Programme for Economic and Social Transformation (ZIMPREST): 1996-2000 3.3 Millenium Economic Recovery Programme (MERP): 2000-2002 4 An Overview of Major Political Reforms in Zimbabwe 5 The Research Problem 6 Justification of the Study 7 Research Objectives 8 Research Questions 9 Hypotheses 10 The Conceptual Framework 11 Research Methodology 11.1 Data Collection Methods 11.2 Basic Case Study Research Design 11.3 The Sample & Case Selection Method 12 Research Launching Seminars 13 Consultative and Feedback Seminars 14Composition of Research Team 15 Communication and Dissemination of the Research Results References Appendix PAGE 3 3 4 5 5 6 6 7 8 8 9 10...
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...Services to Hmong Persons from Laos U.S. Department of Health and Human Services Centers for Disease Control and Prevention Hla dej yuav hle khau; Tsiv teb tsaws chaw yuav hle hau. “When you cross a river, take off your sandals; when you emigrate from one country to another, take off your hat.” –Hmong Proverb Promoting Cultural Sensitivity A Practical Guide for Tuberculosis Programs That Provide Services to Hmong Persons from Laos Female elder. © Frank Carter. U.S. Department of Health and Human Services Centers for Disease Control and Prevention 2008 For Additional Information For more information or for a list of available guides, please contact: Division of Tuberculosis Elimination National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Coordinating Center for Infectious Diseases Centers for Disease Control and Prevention 1600 Clifton Road, NE, Mailstop E-10 Atlanta, GA 30333 Phone: (404) 639-8120 Web site: http://www.cdc.gov/tb Suggested Citation Centers for Disease Control and Prevention. (2008). Promoting Cultural Sensitivity: A Practical Guide for Tuberculosis Programs That Provide Services to Hmong Persons from Laos. Atlanta, GA: U.S. Department of Health and Human Services. 2 Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Intended Audience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . About the Guides . . . . . . . . . . . . . . . ...
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...Human Rights and the Millennium Development Goals in Practice: A review of country strategies and reporting UNITED NATIONS Human Rights and the Millennium Development Goals in Practice: A review of country strategies and reporting UNITED NATIONS New York and Geneva, 2010 Note The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the Secretariat of the United Nations concerning the legal status of any country, territory, city or area, or of its authorities, or concerning the delimitation of its frontiers or boundaries. Symbols of United Nations documents are composed of capital letters combined with figures. Mention of such a symbol indicates a reference to a United Nations document. HR/PUB/10/1 © 2010 United Nations All worldwide rights reserved Credits Photographs: Goal 1: photo by Adam Rogers/UNCDF; Goal 2: © International Labour Organization/ G. Cabrera; Goal 3: photo by Adam Rogers/UNCDF; Goal 4: © UNICEF Armenia/2007/Igor Dashevskiy; Goal 5: © International Labour Organization/E. Gianotti; Goal 6: © World Lung Foundation/ Thierry Falise; Goal 7: © International Labour Organization/M. Crozet; Goal 8: © International Labour Organization/M. Crozet. About the publication This publication builds on a series of country and thematic background studies commissioned for the regional “Dialogues for Action: Human Rights and MDGs”, which took place in...
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...Antiretroviral Therapy Guidelines for HIV-Infected Adults and Adolescents Including Post-exposure Prophylaxis May 2007 NACO Ministry of Health & Family Welfare Government of India Assessment and Management of HIV-Infected Person No Is HIV infection confirmed? Send to ICTC for confirmation of HIV status Yes Perform history taking and physical examination (see p 9 ) Evaluate for signs and symptoms of HIV infection or OIs and WHO clinical staging (see p 10) Provide appropriate investigations/treatment of OIs (see p 13 ) If pregnant, refer to PPTCT Screen for TB Screen for STI Identify need for: CTX prophylaxis (see p 16 ) ART (see p 18 ) No Pre ART care (see p 15 ) Yes Give patient education on treatment and adherence (see p 54 ) Arrange psychosocial, nutrition and community support (see p 56) Start ART, (see p 19 ) Arrange follow-up + monitoring (see p 25 ) Assess adherence every visit Provide positive prevention advice and condoms Provide patient information sheet on the ART regimen prescribed (see annex 7, 8) Antiretroviral Therapy Guidelines for HIV-Infected Adults and Adolescents Including Post-exposure Prophylaxis May 2007 NACO National AIDS Control organisation Ministry of Health and Family Welfare Government of India with support from CDC . Clinton Foundation . WHO TAble of T A b l e o f Acronyms and Abbreviations Introduction....... ..........................................................................................
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...Teenage Pregnancy Unit Teenage pregnancy: an overview of the research evidence Introduction In 1999 the government’s ten-year national Teenage Pregnancy Strategy was launched. The main aims of the strategy are to: • Reduce the rate of teenage conceptions with the specific aim of halving the rate of conceptions among under-18s, and to set a firmly established downward trend in the rate of conceptions among under-16s, by 2010 • Increase the participation of teenage parents in education, training and employment to 60% by 2010, to reduce their risk of long-term social exclusion. This briefing presents headline findings from key research relating to teenage pregnancy and parenthood which has emerged (mainly) since the launch of the strategy. The topics covered include research on young people’s sexual behaviour; sources of sex and relationships information; what works in preventing teenage pregnancy; who is at risk of becoming a teenage parent; how to support teenage parents, and many more. It draws on a range of sources including systematic reviews of the effectiveness of prevention and support interventions, national surveys and primary research studies. The emphasis is on the UK and specifically English research. It was compiled by Catherine Dennison, Research Manager supporting the Teenage Pregnancy Unit. Although not representing a systematic or exhaustive search of the published literature, the briefing is intended to be of use to those engaged in implementing the Teenage...
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...some findings and thoughts of this dissertation will contribute to reducing tuberculosis and poverty. “The appalling global burden of tuberculosis at the turn of the millennium, despite the availability of effective control measures, is a blot on the conscience of humankind. For developing countries, the situation has become desperate and the "cursed duet" of tuberculosis and AIDS is having a devastating impact on large sections of the global community. The vital question is, can despair be turned to hope early in the next millennium?” John Grange and Almuddin Zumla, 1999 TABLE OF CONTENTS Acknowledgements Summary Zusammenfassung Abbreviations i iii vii xi PART I: Introduction and overview Page Chapter 1: Background 1.1. Motivation for the thesis and overview ………………………………………………….….. 1.2. The burden of tuberculosis ………………………………………………………………..… 1.2.1. Public health indicators …………………………………………….……………….. 1.2.2. Economic indicators …………………………………………….…………….…….. 1.2.3. The burden of illness ……………………………………………….…………….….. 1.3. The control of...
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...November 2000 EAST AFRICAN MEDICAL JOURNAL 599 East African Medical Journal Vol. 77 No. 11 November 2000 SAFE MOTHERHOOD INTERVENTION STUDIES IN AFRICA: A REVIEW M. Luck, DSc, Researcher, Centro de Malária e Outras Doenças Tropicais, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, P-1300 Lisboa, Portugal SAFE MOTHERHOOD INTERVENTION STUDIES IN AFRICA: A REVIEW M. LUCK ABSTRACT Objective: To review the findings of safe motherhood intervention studies conducted in African settings. Data sources: Published literature regarding interventions designed to reduce maternal mortality in African settings. Study selection: Studies conducted in sub-Saharan Africa to assess the effects of interventions designed to reduce maternal mortality. Data extraction: Search of Medline database for the years 1988 to 1998 with additional manual search of references cited in Medline-referenced studies. Data synthesis: Few of the 34 intervention studies identified used a double-blind, randomized controlled trial design (4/34), or outcome measures directly related to maternal mortality or maternal health (7/34). Six of the studies produced reasonably convincing evidence of a positive effect on maternal health outcomes. Of these, three showed that changes in delivery practices brought about improved maternal outcomes, two found that a combined intervention consisting of upgrading of emergency obstetric services and community education increased the number of major obstetric...
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...Teenage Pregnancy Unit Teenage pregnancy: an overview of the research evidence Introduction In 1999 the government’s ten-year national Teenage Pregnancy Strategy was launched. The main aims of the strategy are to: • Reduce the rate of teenage conceptions with the specific aim of halving the rate of conceptions among under-18s, and to set a firmly established downward trend in the rate of conceptions among under-16s, by 2010 • Increase the participation of teenage parents in education, training and employment to 60% by 2010, to reduce their risk of long-term social exclusion. This briefing presents headline findings from key research relating to teenage pregnancy and parenthood which has emerged (mainly) since the launch of the strategy. The topics covered include research on young people’s sexual behaviour; sources of sex and relationships information; what works in preventing teenage pregnancy; who is at risk of becoming a teenage parent; how to support teenage parents, and many more. It draws on a range of sources including systematic reviews of the effectiveness of prevention and support interventions, national surveys and primary research studies. The emphasis is on the UK and specifically English research. It was compiled by Catherine Dennison, Research Manager supporting the Teenage Pregnancy Unit. Although not representing a systematic or exhaustive search of the published literature, the briefing is intended to be of use to those engaged in implementing the Teenage...
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...Demographics The exact number of people in any country with anemia is difficult to determine because the disorder often goes undiagnosed. According to the National Heart, Lung, and Blood Institute (NHLBI), anemia affects more than 3 million Americans. Other sources estimate that 4% of men and 8% of women in the general populations of Canada, the United States, and Western Europe have mild anemia. It is thought that the rates of anemia are 2-5 times higher in the developing countries. According to the World Health Organization (WHO), iron deficiency is the most important nutritional disorder in the world. WHO, estimates that 80% of the world's population may be iron deficient. The prevalence of vitamin B12 deficiency among the geriatric population is estimated at 5-15%. Although the prevalence of anemia is greater in women than men aged less than 75, by age 75, male prevalence surpasses female prevalence by about 5%. Anemia can be mild, moderate, or severe enough to lead to life-threatening complications. More than 400 different types of anemia have been identified, many of which are rare. Iron deficiency anemia The onset of iron deficiency anemia is gradual and, at first, there may not be any symptoms. The deficiency begins when the body loses more iron than it derives from food and other sources. Because depleted iron stores cannot meet the red blood cell's needs, fewer red blood cells develop. In this early stage of anemia, the red blood cells look normal but they are...
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...Child Abuse and Neglect 29 30 Dimensions and Critical Issues of Child Maltreatment in the African American Community: Causation, Consequences, and Prospects Presenter: Respondent: Joyce N. Thomas, R.N., M.P.H. Robert Pierce, Ph.D. Introduction African Americans, the largest minority population in the United States, suffer disproportionately from preventable diseases and deaths—(Department of Health and Human Services, Office of Minority Health, 1994). This statement from the Office of Minority Health not only captures the tragic problem of health related issues of African Americans, it also applies to the social welfare problems of these children and their families. Each year over 2,000 children die at the hands of their parents or caretakers (U.S. Advisory Board on Child Abuse and Neglect, 1995). Abuse and neglect in the home are considered one of the leading causes of death for children four years of age and younger and the largest number of child abuse fatalities is due to severe head trauma. Homicide statistics are only part of the grim reality, with near–fatal abuse and neglect accounting for more than 18,000 permanently disabled children, and approximately 142,000 serious injuries (Baladerian, 1991). Findings from the report, A Nation’s Shame: Fatal Child Abuse and Neglect in the United States, indicate that African Americans are overrepresented in both fatalities and near–fatal injuries (U.S. Advisory Board on Child Abuse and Neglect, 1995). Research shows that...
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...Applied Statistical Methods Larry Winner Department of Statistics University of Florida February 23, 2009 2 Contents 1 Introduction 1.1 Populations and Samples . . . . . . . . . . . 1.2 Types of Variables . . . . . . . . . . . . . . . 1.2.1 Quantitative vs Qualitative Variables 1.2.2 Dependent vs Independent Variables . 1.3 Parameters and Statistics . . . . . . . . . . . 1.4 Graphical Techniques . . . . . . . . . . . . . 1.5 Basic Probability . . . . . . . . . . . . . . . . 1.5.1 Diagnostic Tests . . . . . . . . . . . . 1.6 Exercises . . . . . . . . . . . . . . . . . . . . 7 7 8 8 9 10 12 16 20 21 25 25 29 29 29 32 32 32 32 32 35 35 37 38 38 39 40 42 42 44 48 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Random Variables and Probability Distributions 2.1 The Normal Distribution . . . . . . . . . . . . . . . . . . 2.1.1 Statistical Models . . . . . . . . . . . . . . . . . 2.2 Sampling Distributions and the Central Limit Theorem 2.2.1 Distribution of Y . . . . . . . . . . . . . . . . . . 2.3 Other Commonly Used Sampling Distributions . . . . . 2.3.1 Student’s...
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...American Business Law Journal Volume 45, Issue 2, 283–330, Summer 2008 The Impact of Compulsory Licensing on Foreign Direct Investment: A Collective Bargaining Approach Robert Birdn and Daniel R. Cahoynn I. INTRODUCTION The need to facilitate access to essential medicines for those with lifethreatening or fatal diseases like HIV, tuberculosis, and malaria has generated significant interest. Yet, an inevitable tension exists between the need for pharmaceutical companies to profit from their patented inventions and the desire to provide access for impoverished persons. Developing nations have attempted to resolve this tension through the issuance of patent compulsory licensesFauthorizations for government-approved generic copies1Fso that those in need of the n Assistant Professor of Business Law, School of Business, University of Connecticut. This article received the Holmes-Cardozo Award for Outstanding Submitted Conference Paper as well as the Ralph J. Bunche Best Paper Award at the Academy of Legal Studies in Business Annual Meeting, Indianapolis, IN, August 2007. Our thanks for comments and support go to Jayashree Watal, Peter Yu, Douglas Lippoldt, and the other participants at the University of Connecticut’s Center for International Business Education and Research Conference, ‘‘The Impact of Intellectual Property Rights on Innovation, Knowledge Diffusion, and Foreign Direct Investment in the Global Economy,’’ Storrs, CT, May 2007. Additional thanks to Anthony Kwasnica and...
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...TRANSLATION QUALITY ASSESSMENT Translation quality assessment has become one of the key issues in translation studies. This comprehensive and up-to-date treatment of translation evaluation makes explicit the grounds of judging the worth of a translation and emphasizes that translation is, at its core, a linguistic operation. Written by the author of the world’s best known model of translation quality assessment, Juliane House, this book provides an overview of relevant contemporary interdisciplinary research on translation, intercultural communication and globalization, and corpus and psycho- and neuro-linguistic studies. House acknowledges the importance of the socio-cultural and situational contexts in which texts are embedded, and which need to be analysed when they are transferred through space and time in acts of translation, at the same time highlighting the linguistic nature of translation. The text includes a newly revised and presented model of translation quality assessment which, like its predecessors, relies on detailed textual and culturally informed contextual analysis and comparison. The test cases also show that there are two steps in translation evaluation: firstly, analysis, description and explanation; secondly, judgements of value, socio-cultural relevance and appropriateness. The second is futile without the first: to judge is easy, to understand less so. Translation Quality Assessment is an invaluable resource for students and researchers...
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