ESSAYS -
LIST OF AVAILABLE ESSAYS ...
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End-of-Life Decision Making for Nursing Home Residents with Dementia
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Forbes, Bern-Klug and Gessert (2000), in their article End-of-Life Decision Making for Nursing Home Residents with Dementia, relate the problem of family decision making and the focus on nursing home care for individuals with dementia. This 5 page paper provides an overview of the issue presented and relates it to the current literature. Bibliography lists 5 sources.
Filename: MHDemen3.rtf

End-of-Life Issues
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This 3 page paper uses a web site to help explore how Native Americans may choose to face end-of-life issues. Bibliography lists 2 sources.
Filename: HVEndLfe.rtf

Endorphins
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This 3 page paper defines endorphins, and briefly discusses a study done to find out the effects of endorphin production on migraine headache. Bibliography lists 3 sources.
Filename: HVEndorp.rtf

Enhancing Quality in Home Health Care
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A 6 page paper discussing quality assessment and performance improvement in the home health care setting. The paper discusses the need for enhanced quality in home health care and the usefulness of a corporate compliance plan in ensuring that all members of the organization are uniform in their approaches to care and recordkeeping. It summarizes an interview with a practitioner and a visit to a home health care provider, and summarizes all findings in the conclusion: The greater direct communication of telemedicine streamlines the recordkeeping process while improving its quality, and it allows the caregiver to spend more time in direct contact with the patient, rather than in completing forms. The caregiver is able to give the patient more direct attention, thereby enhancing the customer's satisfaction with the care he receives. Bibliography lists 8 sources.
Filename: KShomeHlthQual.wps

Enhancing Total Quality Management at the U.S. Naval Hospital, Guam
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A 4 page paper providing a short overview of the development of TQM and its applicability in the hospital setting. Obvious points at which process improvements are beneficial are those related to patient outcome of course, and those responding to medical emergencies must have the freedom to make the choices necessary in situations often highly constrained by time limitations. Patients' family members also are customers, and improving their experiences increase customer satisfaction and perceived quality of care; decreasing waiting time and improving communication constitute apt beginning points for improving quality in the Emergency Room. Bibliography lists 8 sources.
Filename: KStqmHospGuam.rtf

Entamoeba histolytica: Description, History, and Etiology of an Organism Associated with Infectious Diarrhea and Dysentery
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A 5 page overview of this single-celled eukaryote, a common parasite among all classes of vertebrates, several invertebrates, and quite possibly a variety of unicellular organisms. This paper provides a morphological description of the organism, an overview of its life history, and a review of its impacts to humans and the treatment methodologies which are employed. Bibliography lists 6 sources.
Filename: PPdysent.rtf

Environmental Health Care
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An 11 page paper. It has long been known there is a link between environmental conditions and health. In fact, environmental conditions were first linked to disease in the late 1700s. Although this correlation is known, health care professionals receive very little training about it. The writer reports a survey of pediatricians, for example, 80 percent of whom do not feel comfortable even taking an environmental health history. Other research is also reported. The structure of the American health system is discussed as is the sociopolitical relationship between and among government, politics and health care. Bibliography lists 8 sources.
Filename: PGenvhlt.rtf

Environmental Pollution/Herbal Medicine
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A 3 page research paper that examines herbal and natural food products that can offset the effects of environmental pollution and radiation. Bibliography lists 2 sources.
Filename: kherbm.rtf

Enzymatic Polymorphism: Impacts to Drug Absorption and Toxicity
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An 8 page discussion of enzymatic polymorphism as it relates to drug absorption and toxicity. The author emphasizes the prevalence of polymorphism and the impact it can have on patient treatment. Bibliography lists 4 sources.
Filename: PPmedEnz.rtf

EPA'S Response To Anthrax Attack
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A 27 page paper. Anthrax-laced letters were discovered only weeks after the terrorist attacks of 9/11. An attack involving anthrax spores being transmitted through the mail had never occurred to anyone but here it was. The U.S. Congress asked the Environmental Protection Agency to take control of the testing and decontamination of infected buildings. The EPA was basically operating in the dark; there were no protocols for such a situation. This paper discusses the extensiveness of the situation, the EPA's role in the projects, the criticism levied against the EPA and the final determination that this agency was successful in the cleanup. The writer also comments on the containment of anthrax to a very small number of infected persons. Experts report the numbers could have been much higher if the antibiotics had not been prescribed as a precautionary measure against the disease. The writer explains what anthrax is, where it is usually found, the elimination of the disease in the U.S., which chemicals were used and the processes used to decontaminate the many buildings and areas infected. Data are included. Bibliography lists 30 sources.
Filename: PGganthrx.rtf