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B Atlas

Publications and source records attributed to B Atlas.

5 recordsLinked to original sources

Attitudes of staff and clients in a methadone maintenance program.

This study used a nine-scale semantic differential (S-D) instrument in assessing the attitudes of staff and clients in a methadone clinic toward the concepts HEROIN, METHADONE, DRUG COUNSELING, and DRUG-FREE. Ratings of the concepts showed generally large standard deviations for HEROIN, consistently neutral ratings of METHADONE, and high ratings of DRUG COUNSELING and DRUG-FREE by both groups. Significant differences (p less than .05) between staff and client groups were found along only two of the nine S-D scales: GOOD-BAD and SHARP-DULL. Results are discussed in terms of the meaning of the staff/client similarities and the ambivalent attitudes toward methadone, with possible implications for treatment and future research.

Attitude↗

Histamine-induced hypocalcemia in the rat.

The effect of histamine and betazole hydrochloride (Histalog) on serum calcium homeostasis in the rat was studied in these experiments. Either histamine base, histamine phosphate, betazole, or the appropriate control solution was injected intravenously into fasted, anesthetized 80-100 g male rats. Venous blood was collected before and at 30 and 60 min postinjection. Histamine base in doses of 0.5-2.0 mg/rat induced a significant hypocalcemic response 30 min postinjection which returned to baseline by 60 min. Likewise, the administration of 1.375 mg/rat of histamine phosphate (equivalent to 0.5 mg histamine base) also resulted in a significant fall in serum calcium concentration. However, betazole administration, in doses as high as 10 mg/rat, did not lower the serum calcium concentration. In the histamine experiments neither total protein nor hematocrit values differed from control at the time of hypocalcemia. Therefore the changes in serum calcium concentration cannot be explained by hemodilution. These experiments demonstrate that in the rat the administration of histamine results in a hypocalcemic response similar to that previously observed with gastrin.

Animals↗

The next iteration of managed care? Panel discussion.

What did our five panelists predict for the next iteration of managed care? What do they see happening now? What will the health care industry look like in ten years? Employers will shift an increasing share of rising medical and prescription drug costs to consumers through higher co-pays and defined contributions. Some providers may market their services to attract these consumers. Tightly managed HMOs will provide access to lower-income consumers. So for, e-health is helping managed care organizations cut administrative costs, but not medical expenses. Genetic testing and therapies will not be commercially available for ten to 15 years. Based on demographic trends and labor shortages, demand is likely to exceed the capacity of the health care system within the next three decades. Our five experts caution that managed care is as unpredictable and chaotic as ever, but they do their best to tell you how they think it'll all play out in the near term.

Complementary Therapies↗