"Partners Health Care System, Inc.,(B): Cardiac Care Improvement"
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A 5 page review of a 2001 article by Gary Pisano (Harvard Business School) detailing the changes made at a Massachusetts hospital that allowed the simultaneous reduction of costs for caring for cardiac patients, the reduction of resource utilization and patient length of stay, and improved patient outcome. The author details the process the organization went through and concludes that although several problems still remained, the processes that had been put in place to resolve costs and patient outcome in the restrictions levied by capitated insurance contracts could be expected to be successfully utilized to overcome those problems as well. Bibliography lists 3 sources.
Filename: PPmedEf2.rtf

"Risk Factors For Cardiovascular Disease In Children With Type 1 Diabetes" - Brief Analysis
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3 pages in length. The general research problem Lipman et al (2000) attempt to address revolves around the relationship between children with Type 1 insulin-dependent diabetes and the prevalence of cardiovascular disease as a complication. The predominant coupling of cardiovascular disease and Type 1 diabetes in children requires a greater understanding of environmental factors and the impact they have upon the presence of CVD in these afflicted children. Lipman et al (2000) seek to determine if preventive monitoring measures will serve to be an effective means by which to enable "early identification and treatment of known risk factors" (p. 160). The ultimate goal is to combat factors directly associated with cardiovascular disease and Type 1 insulin-dependent diabetes in children, which the authors believe can be achieved by adopting a preventive approach. Bibliography lists 3 sources.
Filename: TLCRiskFctHrt.rtf

"The Spirit Catches You and You Fall Down": Culture and Medicine
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A 7 page review of the book by Anne Fadiman. The tale of a young Hmong girl whose treatment for a severe form of epilepsy is impended by miscommunications and misunderstandings between the medical establishment and her traditional family. The author of this paper asserts that a little more effort to communication with the family could have proven miraculous in terms of the positive impacts to the patient. Bibliography lists 3 sources.
Filename: PPspirit.rtf

"The Stepford Wives" Then And Now: Opposites
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6 pages in length. While the two versions of The Stepford Wives share a common storyline, there are fundamental differences between the films great enough to qualify them as opposites. The psychological, feminist and patriarchal underpinnings all remain intact, however, it is the gender switch and genetic references that serve to differentiate the 2004 remake from its 1975 original. Whereas Joanna succumbs to the manipulative, mind controlling authority and ultimately becomes a Stepford robot wife in the first version, her 2004 character performs her own manipulation by pretending to have been transformed in order to escape that very thing. This aspect of the film illustrates how the focus is no longer on the weak female as it was thirty years ago but rather spotlights the strength that women have developed as a gender over the past three decades. Moreover, the additional genetic component of the latter film puts into greater perspective the potential consequences associated with artificial engineering and man's constant need to tinker with concepts that are far beyond his thorough understanding. Bibliography lists 11 sources.
Filename: TLCStepford.rtf

1930's Irish Medical Care & Cerebral Palsy / Book Review
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A 3 page review of Christy Brown's touching personal story entitled "My Left Foot" -- the auto-biography of an individual who suffered from Cerebral Palsy and was paralyzed so that he had control over only one foot. The writer focuses upon Christy's struggles and the idea that his story evidences the importance of treating everyone like an equal human being. No Bibliography.
Filename: Mleftfot.wps

2 Ethics Questions
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A 5 page research paper that explores the medical ethics in 2 situations. In the first scenario, the writer discusses the problem of a patient in the early stages of Alzheimer's who does not have a health care proxy. In the second, the writer discusses the treatment of a minor adolescent who does not wish her parents to be informed. Bibliography lists 5 sources.
Filename: khethmed.rtf

21st Century Leadership For Health Care Organizations
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This 7 page paper begins by explaining why new leadership styles are needed and what is driving these needs. The writer comments on the poor organization within the system as it is, the new needs of consumers, including the increasingly growing senior population, technology and other advances. The writer then explains transformation leadership and servant leadership and recommends these two approaches be used in tandem for effective leadership. The writer also cites two authors who recommend these models for health care organizations. Bibliography lists 9 sources.
Filename: PGhltldn.RTF

3 Research Articles/Nursing & Diabetes
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A 5 page research paper that summarizes three research studies pertaining to diabetes mellitus that were conducted by nurse researchers. Nursing interventions have been shown to be a critical factor in promoting such diabetic self-management. These synopses demonstrate how nursing research is consistently exploring ways to improve intervention and make self-management of diabetes more effective. Bibliography lists 3 sources.
Filename: khnurdi2.rtf

4 Nursing Questions
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A 4 page research paper that provides brief answer to 4 nursing questions. These questions cover the topics of defining paradigm and model; differentiating between medical model and wellness model; defining theory and discussing its application in nursing; and the utility of psychoneuroimmunology. Bibliography lists 5 sources.
Filename: kh4nurq.rtf

A Case of Medicare Fraud
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This 4 page paper uses a case study submitted by a student as a springboard for discussion. The case involves a doctor who over treats patients in order to profit. Bibliography lists 3 sources.
Filename: SA309frd.rtf

A Comparison of Clinical Supervision Models
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This 20 page paper compares different models of clinical supervision. The writer considers the Integrated Developmental Model and the Discrimination Model, noting similarities and difference as well as discussing ho they may be practically and conceptually used by supervisors. After this the paper goes on to compare these to the Skovholt and Ronnestad Model. The bibliography cites 21 sources.
Filename: TEclinsup.wps

A Comparison of the Plague and AIDS
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This 5 page paper examines AIDS and compares and contrasts it to the plague of the fourteenth century. Various aspects are discussed inclusive of its affect on social life. Bibliography lists 8 sources.
Filename: SA645AID.rtf

A Concept Analysis Paper on Presurgical Anxiety
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This 15 page paper provides an overview of the issue of presurgical anxiety. This paper uses a concept analysis format. Bibliography lists 10 sources.
Filename: MHPreAnx.rtf

A Conversation Regarding Medical Ethics
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This 3 page paper provides a conversation about medical ethics. The case used as a springboard for discussion involves prioritization in respect to a dialysis machine. Bibliography lists 3 sources.
Filename: SA844cnv.rtf

A Day in the Life of a CSI
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This 7 page paper discusses what a CSI might do in a typical day. It also describes the way a crime scene is investigated, what the code of ethics of the profession is like, and what sort of ethical dilemmas could present themselves to an individual in this field. Bibliography lists 3 sources.
Filename: HVdaycsi.rtf

A Diversity of Diseases: West Nile Virus, Malaria, Plague, and Dengue
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A 13 page overview of these tremendously concerning diseases. Includes information on epidemiology, emotional, physiological, and economic impact. Bibliography lists 10 sources.
Filename: PPdisea3.rtf

A Glimpse at the History of Dentistry
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An 8 page overview of some of the major steps taken in dentistry. Starting in ancient times and continuing to the present, the author concentrates on the various approaches and materials that have been used in the production of fillings. Bibliography lists 7 sources.
Filename: PPdntHst.rtf