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134. 11470 Telemedicine Market. Most people aren't familiar with the concept of "telemedicine" - even doctors as a group still don't seem to know much about this novel technology. But telemedicine is being used successfully these days to deliver health care to individuals through existing and enhanced telephone systems. Networks have already been set up in various parts of the United States to allow consults to be conducted over great distances. For example, a meeting with a patient and physician that originates in a doctor's office in a small rural community may include a specialist in a major medical center, teaching hospital, or tertiary care facility. Real-time video images of the participants are sent via a telemedicine network from one site to the other and may even eliminate the need for the patient to be seen "in person" by the specialist, if treatment can be provided at a local health care facility. Telemedicine is viewed as an important tool for improved health care delivery throughout the United States and has been a major funding focus for various federal and state programs in recent years. Individuals representing telemedicine networks, government health care facilities, and companies involved in developing new products gathered in Portland, Oregon, earlier this week to discuss the future of this innovative tool during the first annual Association of Telemedicine Service Providers (ATSP) conference. Even though implementation of telemedicine has steadily increased since 1994, hospitals and health care provider organizations that establish these networks continue to struggle with legal, medical, organizational, reimbursement, and technical issues. Despite many barriers, greater numbers of "teleconsults" are conducted each year using telemedicine systems. To provide a basis for operational goals, the ATSP meeting focused on "the business of telemedicine." Speakers provided information on a variety of topics. Two "business-related" issues were: the large financial investments needed for hospitals to keep current or to enhance information technology capabilities, and the influence of increased competition among health care provider organizations and the industry-wide pressure to expand market share standings. As an industry organization, ATSP activities are directed at "making telemedicine ubiquitous throughout the world." (Judd & McNulty, 1999) To evaluate the possibilities for achieving this objective, Dr. Douglas Perednia (the president of ATSP) posed a hot-button question to discuss whether telemedicine should be driven by consumer demand. Ultimately, we should all probably learn more about telemedicine in order to expand our own health care options as well as to understand the difficulties facing individuals in rural areas who may benefit the most from this state-of-the-art technology. 80 pgs. Bibliography lists 24 sources. Pages: 80 Bibliography: 24 source(s) listed Filename: 11470 Telemedicine Market.doc Price: US$716.00

135. 12070 Decentralization of the Health Care System. This ten-page junior level paper compares the quality of health services provided to people in different geographical regions based on factors such economy, social, culture. 10 pgs, bibliography lists 5 sources. Pages: 10 Bibliography: 5 source(s) listed Filename: 12070 Decentralization Health Care.doc Price: US$89.50

136. 12155 Salt and Hypertension. This paper presents two opposing views on the relationship of salt/sodium to hypertension. It presents three medical articles or books that uphold the traditional view that reducing dietary salt is necessary to reduce hypertension, and three opposing views from the medical community, neither that salt causes high blood pressure, nor that elimination of dietary salt is the "cure" for hypertension. 4 pgs, bibliography lists 6 sources. Pages: 4 Bibliography: 6 source(s) listed Filename: 12155 Salt Hypertension.doc Price: US$35.80

137. 12341 Collaboration Practice in Health Care Systems. This three-page graduate paper analyses the pros and cons of collaborative practice agreements between licensed physicians and nurses. 3 pgs, bibliography lists 5 sources. Pages: 3 Bibliography: 5 source(s) listed Filename: 12341 Health Care Systems.doc Price: US$26.85

138. 12516 Sexual Stamina: Importance. This is a 10-page paper on how to increase sexual stamina and the underlying importance of the issue. 10 pgs, bibliography lists 10 sources. Pages: 10 Bibliography: 10 source(s) listed Filename: 12516 Sexual Stamina.doc Price: US$89.50

139. 12623 Universal Newborn Hearing Screening. This is a 9 page paper that takes a pervasive view of the concept of Universal Newborn Hearing Screening.9 pgs, bibliography lists 7 sources. Pages: 9 Bibliography: 7 source(s) listed Filename: 12623 Universal Newborn Hearing.doc Price: US$80.55

140. 12629 Trends in Vaccinations in the United States. This thirteen-page undergraduate paper examines and analyzes immunization trends in the United States, discusses shifts in immunizations and why they occurred, and notes the key problems of vaccines.13 pgs, bibliography lists 12 sources. Pages: 13 Bibliography: 12 source(s) listed Filename: 12629 Trends in Vaccinations.doc Price: US$116.35

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