Despite increased security, immigrants continue to enter the United States, most without resources to address health needs. That is the case in and around Richmond, VA, where a quickly growing immigrant population has become a priority for Bon Secours Richmond Health System (BSR), a member of Bon Secours Health System (BSHS), Marriottsville, MD. To plan for the impact of immigrants on community health resources, BSR's Office of Community Health Services in August 2002 brought together local health and human service providers, as well as community groups.
In 2000, Bon Secours Health System began a growth spurt that added eight hospitals, spreading its operations across nine states. But now it's a different story; since last November the system has announced plans or deals to sell facilities in Florida and Virginia, and leave New Jersey entirely. Incoming CEO Richard Statuto, left, faces a handful of challenges. "We need to determine how effective they've been at right-sizing their organization," a Standard & Poor's analyst says.
Access to health care has been a factor for patients living in isolated mountain regions. The Frontier Nursing service was a pioneer in reaching those patients living in the most remote regions of Appalachia. Geography, demographics, and culture present obstacles for rural residents and health care providers. This article identifies and describes the roles nurses and nurse practitioners played in caring for Appalachian families through a roving Health Wagon in the 1980s and 1990s in Southwest Virginia.
Alternative models of premarital abortion permissiveness (PAP) are tested with a two-state sample of single college women. The first model proposes that number of times in love (Love) leads to coitus (Sex) and that coitus increases premarital sexual permissiveness (PSP), which in turn leads to greater acceptance of abortion (PAP). The second posits a causal path from Love to PSP to Sex to PSP. The data appear to be consistent with a revised third model.
BACKGROUND: This study of outpatients at a military medical center seeks to evaluate the extent that this population relies on religion and spirituality to cope with health-related stress. This study also assesses outpatients' desire for spiritual intervention in the context of their medical appointments. METHODS: A cross-sectional survey was conducted using a convenience sample of 670 outpatients presenting at a military medical center.
Journal of Alternative and Complementary Medicine (New York, N.Y.)
OBJECTIVES: To describe the importance and process of gathering the perspectives of former patients when designing clinical studies for complementary and alternative medicine (CAM) therapies and to describe how this information was used to guide the planning of a clinical study using complementary modalities to reduce symptom distress and enhance quality of life during the autologous stem cell transplantation (ASCT) process. DESIGN: Structured interviews with former ASCT patients to identify preferences, opinions, and other issues that may affect a clinical study in this population.
Extracts from the roots and rhizomes of black cohosh (Cimicifuga racemosa) are widely used as dietary supplements to alleviate menopausal symptoms. State-of-the-art quality control measures involve phytochemical fingerprinting of the triterpene glycosides for species identification and chemical standardization by HPLC. In the course of developing materials and methods for standardization procedures, the major C. racemosa triterpene glycoside (1) was isolated and initially thought to be cimicifugoside (2).
OBJECTIVE: This article describes the experience of four acupuncturists in terms of what it meant for them to be a practitioner in a recently completed sham-controlled acupuncture randomized control trial (RCT) with a standardized protocol. DESIGN: At the completion of the RCT for women with ovarian dysfunction, study acupuncturists (2 male MD/acupuncturists and 2 female professional acupuncturists) were queried about their perceptions of participating in the RCT using both written responses to 5 open-ended questions and a focus group interview.
Clinical Gastroenterology and Hepatology: The Official Clinical Practice Journal of the American Gastroenterological Association
BACKGROUND & AIMS: In patients with cirrhosis, cognitive dysfunction most often results from covert hepatic encephalopathy (HE). These patients are not tested routinely for cognitive dysfunction despite single-center evidence that it could be associated with poor socioeconomic status (SES). We investigated the association between SES and cognition in a multicenter study of cirrhosis.