Public Affairs, Public Policy and Public Administration Commons^™

Aids In Children: An Overview Of The Medical, Epidemiological, And Public Health Problems, Ellen R. Cooper

New England Journal of Public Policy

Cases of AIDS in children under thirteen years of age have been described since 1982. Diagnosis is more difficult in children than in adults, owing to the more varied clinical presentation and the difficulty in interpretation of laboratory tests. Current diagnostic criteria of HIV infection are reviewed, as well as symptomatology, natural history, and controversies surrounding management and therapy. Without a full appreciation of the transmissibility of HIV, issues including school and day-care attendance and foster family placement remain emotionally charged. Conflicting public policies contribute to fears on the part of the general public. Because ofthe unique implications for the …

Hiv Antibody Testing: Performance And Counseling Issues, Michael Gross

New England Journal of Public Policy

This article assesses the performance of currently used tests for exposure to human immunodeficiency virus (HIV), the infectious agent associated with acquired immunodeficiency syndrome (AIDS); suggests, in view of that information, guidelines for counseling people seeking HIV antibody testing; and evaluates the claim that because antibody test results will effect behavior change in those who are infected, all members of high-risk groups should be tested.

HIV testing is likely to yield a high proportion of false-positive results in low-risk populations and infants born to infected mothers. A negative result may not establish freedom from infection in high-risk groups or the …

Aids And A-Bomb Disease: Facing A Special Death, Chris Glaser

New England Journal of Public Policy

In 1979 it was called "gay cancer," and it took the life of an acquaintance. Then "gay-related immune deficiency," or GRID, claimed neighbors, friends of friends, fellow activists. I began grief and death counseling with a segment of the population ordinarily concerned with life's ambitions and enjoyments: men in their twenties and thirties. Hospital visits and memorial services became more frequent.

By 1983, when it had come to be called AIDS, my own friends began to be affected. One was a man I dated in seminary, and I was devastated to learn of his illness only upon receiving a notice …

Human Immunodeficiency Virus In Intravenous Drug Users: Epidemiology, Issues, And Controversies, Donald E. Craven

New England Journal of Public Policy

Intravenous drug users are the second most common risk group for acquired immunodeficiency syndrome (AIDS) in the United States, and they account for approximately 25 percent of the cases. Drug users may spread human immunodeficiency virus (HIV) by sharing contaminated drug injection paraphernalia and through sexual contact; women who use drugs can transmit the virus to their children. The rapid spread of HIV in this risk group and the fact that intravenous drug users are a source for heterosexual and perinatal transmission underscore the need for immediate intervention. In addition, many drug addicts are poor, have limited career possibilities, and …

New Hampshire: The Premarital Testing Debacle, Susan D. Epstein

New England Journal of Public Policy

In 1987, the New Hampshire Division of Public Health Services had a bill introduced in the legislature to improve contact tracing and establish statewide public education on HIV infection, transmission, and disease control. This article traces the bill, and issues surrounding the bill, through the legislative process and focuses on an unexpected intervention by the governor through a proposed amendment to add mandatory premarital testing. Its conclusions offer advice to other states on how best to avoid political exploitation of AIDS/HIV issues.

By the summer of 1987, the AIDS issue in New Hampshire had become devoted to everything but AIDS. …

Perceived Job Stress In Critical Care Nursing In A Military Setting, Jeannette Theriault

Ellmer School of Nursing Theses & Dissertations

The purposes of this study. were: to explore job-related perceptions of stress in a group of military critical care nurses; and to determine if differences in anxiety and stress levels existed between nurses working in coronary care (CCCU) and medical/surgical intensive care (ICU) settings using the State/Trait Anxiety Inventory and the Questionnaire of Stressful Factors in Intensive Care. A free response question and a force-response checklist were also used to identify and rank work-related stressors. The sample of Navy nurses (n=105) consisted of 39 CCU nurses, 62 medical/surgical ICU nurses and 4 critical care supervisors. The results of the mailed …

The Future Of Public Health Law, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

Developments in medicine and constitutional law dictate modification of public health legislation in the United States. Traditionally overlooked by legislators, present public health laws provide inadequate decision-making criteria and inappropriate procedures for dealing with issues. Revised legislation should provide health care officials and agencies with the tools to balance individual rights against public health necessities. This article makes four recommendations for legislative reform: (1) remove artificial legislative distinction between venereal and other communicable diseases; (2) provide criteria defining "public health necessity" to limit discretionary exercise of police power by health officials; (3) provide strong confidentiality protections in the collection and …

Update - March 1986, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- Endowment effort succeeds!
-- In honor of my father
-- Are Apartheid and Nuclear War Biotheical Issues? (Editorial)

[ ABORTION: Understanding Our Differences ]
-- Excerpts from a husband and wife 'debate' regarding abortion

-- The Ethics of Biomedical Ethicists (Critique)

The Nucleus Of A Public Health Strategy To Combat Aids, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

Since acquired immune deficiency syndrome (AIDS) was first identified in I98I, its rate of spread among a primarily young and vibrant population has chilled the medical and lay communities. Today, the public response is sober and oriented toward the examination of specific policies that could lessen the impact of the disease. After six years' experience it is now feasible to propose a strategy for combating AIDS. Consensus around the policies outlined in this article should form the nucleus of the public health strategy to combat AIDS before the intervention of an effective vaccine or treatment.

The Role Of The Nurse Middle Manager In A Military Health Care Setting, Terry Brown

Ellmer School of Nursing Theses & Dissertations

This study examined the expectations and perceptions of 63 military nurse participants from all levels of the nurse hierarchy for the role of the military nurse middle manager. Utilizing a tool developed by the researcher, the MMRQ, the study sought to explore role clarity and the importance of the management principles: planning, organizing, staffing, directing, and controlling. Relationships and differences in nursing perceptions were analyzed using Pearson Correlation and Discriminant Analysis. Although the hypothesis of no relationship between expectations and perceptions could not be supported, findings revealed role confusion for two nurse hierarchical levels. The study showed military nurses differed …

Ua12/2/1 Magazine, Wku Student Affairs

WKU Administration Documents

Special edition of the College Heights Herald includes these articles.

• Parson, Kim. Coed Housing – Elisa McCarty, Gavin Headlee, Lisa Gardner
• Dezern, Craig. Hanging Out – Greenwood Mall
• Meehan, Mary. Bedside Man-ner – Male Nurses, Craig Denny

Ua37/30/2 Wku Research Notecards - F Topics, Lowell Harrison

Faculty/Staff Personal Papers

Notecards created by Lowell Harrison while researching his book Western Kentucky University. The cards transcribed below are for 259 topics beginning with F ranging from Faculty - Hunt to Future of Education.

A Moment In Human Development: Legal Protection, Ethical Standards And Social Policy On The Selective Non-Treatment Of Handicapped Neonates, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

Selective non-treatment decisions involving severely handicapped neonates have recently come under renewed judicial and legislative scrutiny. In this article, the author examines the legal, ethical and social considerations attendant to the non-treatment decision. In Part II he discusses the predominant ethical viewpoints relating to this issue and proposes a new moral standard based on personal interests. Part III presents a survey of the jurisprudence relating to selective non-treatment decisions. Parts IV and V of this article provide a critical examination of the recently enacted Child Abuse Amendments of 1984, a federal legislative initiative designed to regulate treatment decisions relating to …

Tidewater Virginia: A Case Study In Health Planning, Maria Justice Moore Griffin

School of Public Service Theses & Dissertations

Leigh Memorial Hospital, a small private community care hospital merged with Norfolk General Hospital in 1972 to form an innovative health care corporation in Tidewater Virginia. By deciding to merge and alter its organizational identity, the Leigh Memorial Hospital leadership reversed a previous decision to relocate to the downtown Norfolk Medical Center complex, choosing instead to move to within a few yards of the neighboring city of Virginia Beach. Those two decisions and the story behind them are part of a complex, highly interdependent series of decisions which altered the health care delivery system in Tidewater Virginia.

This study is …

The Politics Of Mental Health After Care, Steve Rose

The Journal of Sociology & Social Welfare

Essential to the development of a positive practice in mental health after-care is a precise formulation of clients' needs. Clarity about a statement of needs provides added information about anticipated obstacles to meeting those needs, both at the client and systemic levels. To accomplish this preliminary task, it becomes necessary to create what we refer to as a "problem definitional" level of theory. Problem defining theory mediates between more global theory, which establishes a larger context for understanding the broad policy issues and direct implications,* and the articulation of practice theory.

Hanover Street: Un Experimento De Capacitacion Femenina En Soladadura Y Carpinteria, Peggy Antrobus, Barbara Rogers

Poverty, Gender, and Youth

El Proyecto de Hanover Street, conocido oficialmente como United Women's Woodworking and Welding Project (Proyecto de Carpintería y Soldadura de la Unión Femenina), es un experimento destinado a capacitar a un grupo de mujeres en oficios que usualmente desempeñan los hombres. Se inició en 1976 y fue el primer proyecto de esta clase de la Oficina de la Mujer Jamaiquina, una dependencia creada por el Gobierno de Jamaica durante el Año Internacional de la Mujer, para garantizar la total participación femenina en el desarrollo del país. A pesar de encontrarse aún en una etapa de desarrollo, el proyecto ha demostrado …

Compulsory Treatment In Psychiatry: Some Reflections On Self-Determination, Patient Competency And Professional Expertise, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

In this article the author examines the rationale, in legal and policy terms, of the inextricable association traditionally formed between certification and incompetency. He argues that forming categories of people in which the law automatically dispenses with the requirement of seeking consent is fraught with conceptual inconsistencies and practical difficulties. He further argues that clinical judgments made without the consent of the patient should be made subject to an independent statutory review. Such a review procedure could also be adopted for treatments which are unusually hazardous, irreversible or not fully established even if the doctor purports to proceed with the …

Organizational Structure And Professional Norms In An Alternative Health Care Setting: Physicians In Health Maintenance Organizations, Judith K. Barr, Marcia K. Steinberg

The Journal of Sociology & Social Welfare

The development of new organizational forms for the delivery of health and medical care in the U.S. includes health maintenance organizations (HMOs), designed to provide a set of comprehensive basic health services to a defined population for a fixed prepaid premium. As complex organizations, HMOs have the potential for limiting the autonomy of professionals working in them. This paper describes the legal requirements and organizational mechanisms under which physicians practice in HMOs and considers the potential for conflict between the organization and professional norms.

On the basis of document and interview data from nine HMOs, it appears that mechanisms developed …

The Paradoxes Of Health Planning, Bonnie Morel Edington

The Journal of Sociology & Social Welfare

The National Health Planning Act of 1974 designated 200 Health Systems Agencies (HSAs) nationally and a State Health Planning and Development Agency in each state. Components of the law are analyzed to illustrate its ambiguities and contradictions. The components analyzed are: the findings which led to the passage of the law; the law's purpose; the ten national health priorities; the National Guidelines for Health Planning; the purposes of the HSAs and the data they are to assemble and analyze. The major contradiction is that agencies designated to focus on cost containment in health care are expected to make health care …

Hanover Street: An Experiment To Train Women In Welding And Carpentry, Peggy Antrobus, Barbara Rogers

Poverty, Gender, and Youth

The Hanover Street Project, formally known as the United Women’s Woodworking and Welding Project, is an experiment in training women for jobs usually held only by men. Begun in 1976, this was the first such program of the Jamaica Women's Bureau, established by the government during International Women's Year to ensure that women participate fully in Jamaica’s development. The project demonstrated that low-income women can learn non-traditional skills and can work together to improve their lives. Through trial and error, the project is providing the Women's Bureau with a wealth of information about teaching technical skills, working with other government …

Lessons From Private Health Insurance, Martha N. Ozawa

The Journal of Sociology & Social Welfare

All across the country there is a sense of urgency, and even of crisis over what is happening in the health industry. Of special concern are the rapid rate of increase in the cost of health care services and the increasing national expenditures for health care. For fiscal year 1976, the total U.S. spending for health care reached $149.8 billion, or a per capita expenditure of $638. Expressed as a percentage of the gross national product (GNP), the national spending for health care reached a record-breaking 8.6 percent.1 From the early 1960s--except during the period from August 1971 through April …

Some Observations Of The Swedish Psychiatric System, Gunnar Robert Almgren

Dissertations and Theses

The purpose of this report is to introduce the reader to the system of psychiatric services in Sweden. The format of this report is a brief summary of the economic, political and value context of the Swedish welfare state, a review of the essential services available to the Swedish citizen under present Swedish social welfare policy, and then an overview of Sweden's psychiatric system. The overview of the system itself includes a discussion of general characteristics as well as an examination of the system as it operates in one particular region.

Leisure Preferences Of The Elderly In Bowling Green Nutrition Programs, Lawrence Prochazka

Masters Theses & Specialist Projects

The objective was to identify the leisure preferences of elderly in Bowling Green Nutrition Programs. This objective was to be accomplished through the utilization of a leisure preference test. Since no leisure preference test was found, the study was significant not only for the results obtained but also to evaluate this new test.

The test was designed after the format utilized in the Edwards Personal Preference Test. Major categories were selected and each was composed of five leisure opportunity statements. Each category was placed in opposition to every other category four times to comprise the test. A test was then …

Resettlement Problems Of Prisoners-Of-War Of The Japanese In World War Ii And The Chinese Communists In Korea, Allen Hanegan

Masters Theses

The readjustment problems that were encountered by the prisoners-of-war (POWs) were caused by their identification problems, the chief aspect of which was their defensive isolationism. These problems produced further difficulties for the individual POW in the behavioral category and for the entire POW group in their underlying distrust of the outside world. These also produced confused reactions, paranoid syndromes, and a lack of participation in military and civilian affairs, and were expressed in the POWs as fearful withdrawal and belligerent negation with anti-social overtones. These problems were more marked in the case of the Korean War prisoners than in the …

The Philosophy And Goals Of A Farm-Living Group Home For Mentally Retarded Citizens In The State Of Washington: A Working Plan Of Implementation, Max R. Grimmett

All Graduate Projects

Group homes were established as a result of House Bill #465 passed by the Washington State Legislature in 1969. The purpose of this bill was to make it possible for some people living in state institutions to move into smaller and more "homelike" places.

The purpose of the study was to determine what has been done in the area of group homes under the Washington State Guidelines. A study was made of the existing group homes and the programs offered at the present time. After collecting data, a plan was developed to create a proposed farm-living group home for mentally …

Understanding The Health And Social Service Needs Of People Over Age 65, Laurence G. Branch

Center for Survey Research Publications

The complexity of the issues involved with providing appropriate health care and social services from the appropriate setting to people over age 65 can hardly be overstated. One of the present debates in the field focuses on the value of institutions as the customary setting for providing health care; the arguments are based on considerations of economic efficiency and the recipient's quality of life. Some of the debators suggest deinstitutionalizing as many of the health care recipients as possible, while simultaneously upgrading the quality and quantity of home based support services. The logic of deinstitutionalization is often buttressed by claims …

Social Wolk In Relief And Rehabilitation After Wars, At Home Aid Abroad, Walter A. Friedlander

The Journal of Sociology & Social Welfare

In the United States after the wars of the 19th. century, particularly after the Civil War, no professional social workers existed who could have cared for the wounded soldiers and civilians or for the disabled veterans. But in Europe, during the war of France and Italy against Austria, in 1859, the foundation of some services for the wounded soldiers of the three involved nations were laid by a Swiss banker, Henry Dunant of Geneva who arrived by accident on the evening of the bloody battle in Solferino (Italy) and started to help bandaging some of the bleeding victims of this …

A First Aid Teaching Unit For The Missionary System Of The Church Of Jesus Christ Of Latter-Day Saints, Glenn R. Schiraldi

Theses and Dissertations

The intent of this study was to develop a sixty minute, mediated practical first aid teaching unit for the missionary system of the Church of Jesus Christ of Latter-day Saints.

Pesticide Regulation And The Farm Worker, R. Craig Loveless

IUSTITIA

It has long been recognized that many pesticide products offer a potential hazard, which if unregulated, may result in injury or death. The development of highly toxic pesticides during the last decade has created a need for stricter regulation of pesticide use in the agricultural community. Specifically, the farm worker of today is in need of legislative protection from exposure to deadly chemical agents now being used to control pests and disease in the fields and orchards. Regulating the handling and use of these dangerous pesticides is but one way to protect the farmer, the farm worker, and the environment. …

Opinions And Expectations Of Nursing Home Administrators, Jordan I. Kosberg

The Journal of Sociology & Social Welfare

From a comparative analysis of 214 nursing homes in the Chicago area, it was found that the nursing home field is composed of institutions with great variations in treatment resources available to the residents (Kosberg and Tobin, 1972). While the determination of organizational correlates to the extent of treatment resources was the major objective of the study, an exploration of the attitudes of a sample of nursing home administrators was undertaken in an effort to learn of possible relationships between attitudes and the characteristics of facilities.

There is a commonly-held assumption that not only the academic background of an administrator …