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Will Emphasis On Prevention Bring Health Costs Down?
Kaiser Health News reports that "If there is one thing that both parties can agree on in the health overhaul debate, it"s the need to build a health system that promotes prevention rather than just manages disease." Proposals currently being debated in Congress would require "Medicare and private health insurers to fully cover preventive services such as checkups and screening tests for cancer without any patient co-payments or deductibles." President Obama maintains that "prevention measures can save lives and limit health spending," and such a provision is "one of the eight consumer protections he wants in any health overhaul legislation." But the health insurance industry is balking, saying "such a provision would lead to higher premiums and hamper insurers" flexibility to design plans" (Galewitz, 8/4).
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Yerkes Researchers Identify Parallel Mechanism Monkeys And Humans Use To Recognize Faces
Researchers at the Yerkes National Primate Research Center, Emory University, have demonstrated for the first time rhesus monkeys and humans share a specific perceptual mechanism, configural perception, for discriminating among the numerous faces they encounter daily. The study, reported in the June 25 online issue of Current Biology, provides insight into the evolution of the critical human social skill of facial recognition, which enables us to form relationships and interact appropriately with others.
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Immune Genes Adapt To Parasites
Thank parasites for making some of our immune proteins into the inflammatory defenders they are today, according to a population genetics study that will appear in the June 8 issue of the Journal of Experimental Medicine (online May 25). The study, conducted by a team of researchers in Italy, also suggests that you might blame parasites for sculpting some of those genes into risk factors for intestinal disorders.
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Complaints By The Elderly Valuable Information Or Trivialities?

What is done when the elderly lodge complaints about their services? elderly care? Why is it that staff describe complaints made by the elderly as "trivialities"? In two recent studies, Tove Persson, doctoral student at the School of Health Sciences, shows that staff, as well as social services directors in local administrations often trivialize complaints from the elderly, which in turn makes it difficult for the elderly to influence their everyday lives. "It is valuable for us to receive your thoughts, ideas and complaints positive as well as negative it gives us a chance to improve our work". Statements such as this are used by many Swedish municipalities. In fact, similar rhetoric is used in several EU countries to encourage the elderly to make their voices heard. The "European Social Network" emphasizes that social services wish to listen to the service users and support the personal fulfilment of the elderly. Yet, Tove Persson"s studies expose serious flaws in the practice of listening at least in Sweden. Officially, complaints are "valuable tools for quality improvements", but two recent studies show that complaints by elderly citizens are often trivialized or played-down by the authorities responsible and by staff involved in elderly care. Persson has studied 100 social service directors (responsible for elderly care) and found that the organization of complaints lodged by the elderly is a bit of a haphazard affair in Sweden. Many municipalities, for instance, did not provide the elderly with information about how to complain, and in some municipalities the elderly had to submit their complaints via the Internet. Even though the service directors said they received too few complaints from the elderly, quite paradoxically, they often played down the importance of the few complaints they did receive by describing these as trivial: "It is often trivialities they complain about. You know, if some of the home help staff forget a visit and things like that." Similar rhetoric was exposed in Persson"s second study where nursing home staff described residents" complaints about food, bedtimes and loneliness as petty details. By describing nearly all kinds of complaints as unimportant, the staff could justify their negligence regarding these complaints. Despite official ambition to listen to the elderly, it still seems to be difficult for the elderly to make their voices heard. Vetenskapsrç¥det (The Swedish Research Council)


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