Stormy weather aids addicts. Regional West Medical Center, Scottsbluff, NE.
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Moderator: Good evening. Tonight I will be moderating a debate on the Health Care System Salvage and Coverage Overhaul Act of 2010 (Senate Bill 1, with companion legislation in the House). The bill is awaiting final congressional action, and the issue is considered so important that all 14 major television networks are carrying this debate live, along with many radio networks and at least 1,873 Internet/World Wide Web sites. As you know, S.B. 1 would provide immediate federal aid to the 1,000 hospitals and health care systems that are currently in bankruptcy; extend government-subsidized coverage to the estimated 90 million Americans who lack it; return to the federal government a wide range of health care regulatory and payment activities that had been transferred to the states; and prohibit certain types of health care enterprises and services, chiefly proprietary delivery and managed care systems. At the moment, the chances of its passage are too close to call. Arguments in support of S.B. 1 will be presented tonight by Sen. Joseph P. Kennedy II, Democrat of Massachusetts; arguments in opposition to the bill will be presented by Sen. George W. Bush, Republican of Texas; and the view of the Independent Party will be presented by former Kansas Senator Nancy Kassebaum, who also speaks as chairman of the National Nonpartisan Commission to Save American Health Care. Senator Kennedy will begin.
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A vaccination nationwide campaign against measles, meningitis and yellow fever was organized in Burkina Faso (former Upper Volta) from November 25 to December 10, 1984. All children between 0 and 14 years, not yet vaccinated, were to be immunized. The campaign called "vaccination commando" was preceded by a study of the population's behaviour. This led to the creation of an interministerial committee to implement a multidisciplinary and a multi-sectoral approach. Village and district committees were set up to establish lists of children to be vaccinated, mobilize the community, and organize the vaccination sessions. A guide for health workers, schoolteachers and parents was also published. All available means of information were used to publicize the campaign. The most useful media was radio which covers the entire country. Round table discussions took place on television. Slides and short films were used in primary and secondary schools. Poems and songs were written for theatre shows. Posters were designed and displayed in towns and villages. More than 100,000 fliers were distributed. Once the campaign over, an evaluation showed that the vaccination rate was almost 100% and that it had become a routine activity for all health workers. Health education was an essential factor in the campaign's success.
BACKGROUND: African Americans have low immunization rates, yet little is known about their immunization knowledge, attitudes, and practices or about the effect of outreach to this audience. In Spring 1997, the California Department of Health Services (CDHS) launched a statewide culturally sensitive and ethnically specific media campaign directed toward African Americans. This campaign was preceded by a major Los Angeles County Department of Health Services media campaign. OBJECTIVES: The objectives of this study were to (a) estimate exposure to immunization media messages among African Americans; (b) determine sources of immunization information; and (c) assess various immunization attitudes and beliefs in order to refine future outreach efforts. METHODS: Following the CDHS media campaign, a random digit dial survey was conducted with 801 African American families with children under age 10. The sample was drawn from the four California regions with the highest African American birth rates. It included all zip codes in these regions with greater than 150 African American births per year. Lower bound response rates ranged from 62.5 to 76.1%. Higher income and education levels were overrepresented. Results were weighted to adjust for this. RESULTS: Over 88% remembered seeing or hearing some form of immunization information. Exposure to television ads was reported by 63% followed by billboards (51%) and radio (42%). Sixty-two percent thought mild disease was possible after shots; 27% feared HIV from needles and 19% thought pain was a barrier. Respondents who cited money as a barrier (26%) were less likely to believe that shots were available for free (P = 0.02). CONCLUSIONS: Media advertising is an effective tool for reaching African Americans. Addressing specific concerns (e.g., clarification of the circumstances and likelihood of getting a mild case of the disease following an immunization, availability of free shots, and risk of HIV) may contribute to increased immunization rates for this population.
Previous work on the media and suicide has neglected the mood of the audience in its models. The present study tests the thesis from symbolic interaction theory that the degree of media influence is contingent on audience receptivity. Audience receptivity to suicide stories is assumed to be high in the Great Depression given widespread unemployment, a condition thought to promote suicidogenic mood such as anomie. A taxonomy of stories is developed using classic imitation, social learning, and differential identification theories. Analysis of monthly data on suicide and publicized stories finds, however, little supporting evidence. Only stories concerning political leaders were associated with suicide. Stories concerning other categories of victims, such as villains, entertainers, and foreigners, were not associated with suicide. Possibly the potential impact was offset by other factors such as the absence of television to echo for the messages carried by the newspapers and radio and heightened political integration.
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As men play a prominent role in reproduction, it is therefore extremely useful to assess and encourage them to be involved in contraception, particularly in developing countries, where contraceptive goals have not been reached. This study was carried out in Kayseri, Turkey, in order to determine the attitudes and behavior of married men concerning family planning. A questionnaire was presented to 123 married men. In our study, 91.9% of men approved of family planning, but only 54.4% actually used any contraceptive methods; 66.7% of the men said that the decision should be a joint one, 66.4% wanted to limit their family size. Approximately one fourth of the men had never heard of voluntary sterilization. No one in the study group was aware of the mini-pill, diaphragm or Norplant. In the study group, 26.8% of the men did not want their wives to use intrauterine devices and 31.7% of them did not agree with women using the contraceptive pills. Among those unwilling to use a condom (46.3%), 70.1% stated that it might interrupt intercourse. If a contraceptive pill for males could be used, 25.2% of members of the group would be prepared to use it. Only 17.5% men in the study group had contacted a doctor or a health foundation to obtain information. The main sources of family planning information were TV/radio, followed by friends and newspapers/magazines. In order to encourage men's involvement in family planning, the use of mass media and continual training programs, to try to reach both men and women, could be very useful.
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