ARHP Commentary ! Thinking (Re)ProductivelyPutting the man.docxfredharris32
ARHP Commentary ! Thinking (Re)Productively
Putting the man in contraceptive mandate!
Brian T. Nguyena,", Grace Shihb, David K. Turokc
aDepartment of Obstetrics and Gynecology, Oregon Health and Sciences University, 3181 Southwest Sam Jackson Park Road, Box L466,
Portland, OR 97239, USA
bDepartment of Family Medicine, University of Washington, Seattle, WA 98195, USA
cDepartment of Obstetrics and Gynecology, University of Utah, Salt Lake City, UT 84132, USA
Received 20 August 2013; revised 28 September 2013; accepted 1 October 2013
Announced on January 20, 2012, and made effective
August 1, 2012, the “contraceptive mandate” is an extension
of the Patient Protection and Affordable Care Act (ACA) that
sanctioned the provision of contraceptives and sterilization
services to women at no cost. While the mandate is a
landmark for women's health care, it has not yet directly
addressed a role for men. Male involvement is often either
absent or a late addition to reproductive policies, as seen with
past developments in sexual health such as emergency
contraception [1], the human papillomavirus vaccine [2] and
expedited partner therapy for sexually transmitted infections
[3]. As written currently, the ACA does not direct insurance
carriers to reimburse for vasectomy nor prospective male
contraceptives or counseling [4].
Sterilization rates in the USA have remained fairly
constant over the last 40 years. The National Survey of
Family Growth (2006–2010) reported that 27% of women
rely on female sterilization for birth control; only 10% rely on
their partners' vasectomies [5,6]. The exclusion of coverage
for vasectomy may widen this disparity by comparatively
increasing cost barriers and decreasing social expectations for
men. In comparison to female sterilization methods,
vasectomy has benefits with respect to efficacy, cost and
safety [7]; the ACA's exclusion of vasectomy is neither
ethical nor evidence based and warrants re-examination.
Based on the data from the US Collaborative Review of
Sterilization, the cumulative probability of failure for female
sterilization at 5 years postprocedure was 13.1/1000 pro-
cedures (95% confidence interval: 10.8–15.4), compared to
vasectomy at 11.3 (2.3, 20.3) [8,9]. Other sources cite higher
annual failure rates for tubal ligation, 0.13–0.17%, compared
to vasectomy at 0.01–0.04% [10,11].
Female sterilization also carries greater risk of complication
than does vasectomy. Abdominal access for tubal ligation
carries 20 times the risk of major complications compared to
vasectomy, which is performed in the office under local
anesthesia ideally with a single b10-mm scrotal incision [12].
Postoperative complications, such as bleeding and infection,
are also more common among tubal ligations than vasectomies
(1.2% vs. 0.043%) [13]. Costs of these complications each
year are also estimated to be US$ 62.52 vs. US$ 0.06 for tubal
ligation and vasectomy per procedure, respectively. Pregnancy
complications related to st ...
The Indo-American Journal of Pharma and Bio Sciences plays a crucial role in the scientific community by providing a platform for the exchange and dissemination of research findings in the fields of Pharmacy and Bio Sciences is the scope and journal of the best science journals.
ARHP Commentary ! Thinking (Re)ProductivelyPutting the man.docxfredharris32
ARHP Commentary ! Thinking (Re)Productively
Putting the man in contraceptive mandate!
Brian T. Nguyena,", Grace Shihb, David K. Turokc
aDepartment of Obstetrics and Gynecology, Oregon Health and Sciences University, 3181 Southwest Sam Jackson Park Road, Box L466,
Portland, OR 97239, USA
bDepartment of Family Medicine, University of Washington, Seattle, WA 98195, USA
cDepartment of Obstetrics and Gynecology, University of Utah, Salt Lake City, UT 84132, USA
Received 20 August 2013; revised 28 September 2013; accepted 1 October 2013
Announced on January 20, 2012, and made effective
August 1, 2012, the “contraceptive mandate” is an extension
of the Patient Protection and Affordable Care Act (ACA) that
sanctioned the provision of contraceptives and sterilization
services to women at no cost. While the mandate is a
landmark for women's health care, it has not yet directly
addressed a role for men. Male involvement is often either
absent or a late addition to reproductive policies, as seen with
past developments in sexual health such as emergency
contraception [1], the human papillomavirus vaccine [2] and
expedited partner therapy for sexually transmitted infections
[3]. As written currently, the ACA does not direct insurance
carriers to reimburse for vasectomy nor prospective male
contraceptives or counseling [4].
Sterilization rates in the USA have remained fairly
constant over the last 40 years. The National Survey of
Family Growth (2006–2010) reported that 27% of women
rely on female sterilization for birth control; only 10% rely on
their partners' vasectomies [5,6]. The exclusion of coverage
for vasectomy may widen this disparity by comparatively
increasing cost barriers and decreasing social expectations for
men. In comparison to female sterilization methods,
vasectomy has benefits with respect to efficacy, cost and
safety [7]; the ACA's exclusion of vasectomy is neither
ethical nor evidence based and warrants re-examination.
Based on the data from the US Collaborative Review of
Sterilization, the cumulative probability of failure for female
sterilization at 5 years postprocedure was 13.1/1000 pro-
cedures (95% confidence interval: 10.8–15.4), compared to
vasectomy at 11.3 (2.3, 20.3) [8,9]. Other sources cite higher
annual failure rates for tubal ligation, 0.13–0.17%, compared
to vasectomy at 0.01–0.04% [10,11].
Female sterilization also carries greater risk of complication
than does vasectomy. Abdominal access for tubal ligation
carries 20 times the risk of major complications compared to
vasectomy, which is performed in the office under local
anesthesia ideally with a single b10-mm scrotal incision [12].
Postoperative complications, such as bleeding and infection,
are also more common among tubal ligations than vasectomies
(1.2% vs. 0.043%) [13]. Costs of these complications each
year are also estimated to be US$ 62.52 vs. US$ 0.06 for tubal
ligation and vasectomy per procedure, respectively. Pregnancy
complications related to st ...
The Indo-American Journal of Pharma and Bio Sciences plays a crucial role in the scientific community by providing a platform for the exchange and dissemination of research findings in the fields of Pharmacy and Bio Sciences is the scope and journal of the best science journals.
The Workforce of the Future - Ben Frasier.pdfBenFrasier
As a nation, we are faced with a critical health care worker shortage that needs both immediate and long-term solutions. Everyone is affected by healthcare: as citizens whose health and that of our loved ones is affected by how well our healthcare system is functioning; as healthcare staff who are facing increasing levels of burnout and lack of motivation to work within a broken system; as healthcare administrators whose job it is to optimize resources to ensure that patients receive comprehensive and equitable care and that healthcare workers receive the support they need to thrive in a safe working environment; to legislators whose job it is to create practices and policies that allow the healthcare system to achieve these goals.
the graying of america challenges and controversies spring 20.docxoreo10
the graying of america: challenges and controversies spring 2012 17
Can Health Care
Rationing Ever
Be Rational?
David A. Gruenewald
Case Study
Mr. M. was a 77-year-old decisionally incapacitated
long-term nursing home resident with chronic schizo-
phrenia who was admitted to the hospital with a
bacterial pneumonia. His past medical history was
notable for deteriorating functional status over the
past 2-3 years, urinary retention requiring chronic
indwelling bladder catheterization, and two recent
hospitalizations for urinary tract infections leading
to sepsis. He developed respiratory failure soon after
admission and was intubated and placed on mechani-
cal ventilation. Follow-up studies suggested worsen-
ing pneumonia and acute respiratory distress syn-
drome (ARDS), as well as worsening kidney function.
The patient was unable to participate in any decision
making. His guardian requested that cardiopulmo-
nary resuscitation and all other intensive care be pro-
vided if necessary, including dialysis should Mr. M.’s
kidney failure continue to worsen. After five days of
mechanical ventilation, the patient was weaned from
the ventilator and extubated. The palliative care ser-
vice was consulted following the extubation; his criti-
cal care team questioned whether it would be appro-
priate to re-intubate the patient if he again developed
respiratory failure. The palliative care team contacted
Mr. M.’s brother, his only living relative, who felt the
patient’s quality of life was poor and believed the
patient would not want aggressive medical care. The
staff at his nursing home was contacted, as well as
the patient’s mental health case manager, who had all
known Mr. M. for many years. All concurred with his
brother’s assessment. Additionally, the nursing home
staff said that Mr. M. would not be able to return there
if the plan was to continue more intensive medical
management of his worsening health conditions. Hos-
pice care was discussed with these parties, and it was
thought that choosing hospice would best represent
the patient’s wishes under the circumstances. The pal-
liative care team contacted his guardian and explained
the patient’s medical situation and its implications
for his ongoing care (including the need for physical
restraints, loss of stable nursing home placement, and
confinement to the acute care hospital environment
for the duration of his acute illness). Based on this new
David A. Gruenewald, M.D., is an Associate Professor of
Medicine at the University of Washington School of Medi-
cine in Seattle, Washington, and the Associate Director of the
Palliative Medicine Fellowship at the University of Wash-
ington. He is the Medical Director of the Palliative Care and
Hospice Service at VA Puget Sound Health Care System in
Seattle, Washington. He received his Bachelor of Arts (B. A.)
degree from Reed College in Portland, Oregon, and his Medical
Doctor (M.D.) degree from the University of C ...
Reply1
Re: Topic 1 DQ 2
Topic 1 DQ 2
The inclusion of evidence-based practice provides nurses with the scientific research and experience to make a comprehensive decision. The practice enables the nurses to re-evaluate the risks and only adopt the best mechanism to ensure an improved patient outcome. Patients are also able to receive the best available outcomes. It is very advisable to move the nursing practice to be evidence-based to ensure that there is patient-centered care that is safe, inclusive, and effective. However, there have been barriers towards this progress since only 15% of U.S practice is evidence-based. One of the barriers which have led to lagging behind in adopting evidence-based practice is nurse shortage. Evidence-based practice requires massive documentation and research together with increased testing and experience. This requires a large human resource which is not available due to nurse shortage across the united states (Stavor et al., 2017). This has acted as a barrier towards the goal of moving practice to evidence-based. The government should employ more nurses and also dedicate some of the workforces specifically to matters to do with shifting traditional caregiving to EBP.
The second barrier is unsupportive administration. Research indicates that over 70% of nurses know about evidence-based practice, but the barriers to the practice in a clinical setting make it hard for them to adopt it. To move practice to EBP requires active collaboration from all stakeholders and more so from the administration of the healthcare setting. However, most administrations have been termed as unsupportive for the move due to the challenges of resources involved in the move. EPB presents a huge cost in the beginning due to its data requirements. However, it is able to reduce the cost of healthcare by 35% after its implementation. Lack of support from the management makes it hard to move nursing practice to EBP in a clinical setting since it’s a collaborative activity that requires dedicated and goal-oriented leadership (Duncombe, 2018). Policies and regulations should be created which force the push to enable the administration of various healthcare to have no otherwise but to comply in the shift.
References
Stavor, D. C., Zedreck-Gonzalez, J., & Hoffmann, R. L. (2017). Improving the use of evidence-based practice and research utilization through the identification of barriers to implementation in a critical access hospital.
JONA: The Journal of Nursing Administration
,
47
(1), 56-61.
Duncombe, D. C. (2018). A multi‐institutional study of the perceived barriers and facilitators to implementing evidence‐based practice.
Journal of Clinical Nursing
,
27
(5-6), 1216-1226.
Reply 2
aur
1 posts
Re: Topic 1 DQ 2
As unprecedented development in the diagnosis, treatment, and long-term management of disease bring Americans closer than ever to the promise of personalized health care, we are faced with similarly unprecedented c.
Write a summary of chapter 2 of Lawrence Levines Black Culture and .docxnealralix138661
Write a summary of chapter 2 of Lawrence Levine's Black Culture and Black Consciousness.
Questions to consider:
What is the author's thesis/argument?
What are the author's supporting points?
What evidence does the author present to support the thesis/argument?
.
Write a summary of Robert Kegans Transformational Learning theory (.docxnealralix138661
Write a summary of Robert Kegan's Transformational Learning theory (one paragraph)
What is the Theory of Expansive Learning? (one paragraph)
Explain the work of Yrjo Engestron... (one paragraph)
**Book to look for the answers**
Contemporary Theories of Learning, Learning Theories...In Their Own Words. (2nd ed.) 2018
by Knud Illeries, Routledge Publisher
ISBN 9781351377034
https:wwwvitalsource.com/referral?term=97813513770
.
More Related Content
Similar to Write a summary of the article Putting the Man in Contraceptiv.docx
The Workforce of the Future - Ben Frasier.pdfBenFrasier
As a nation, we are faced with a critical health care worker shortage that needs both immediate and long-term solutions. Everyone is affected by healthcare: as citizens whose health and that of our loved ones is affected by how well our healthcare system is functioning; as healthcare staff who are facing increasing levels of burnout and lack of motivation to work within a broken system; as healthcare administrators whose job it is to optimize resources to ensure that patients receive comprehensive and equitable care and that healthcare workers receive the support they need to thrive in a safe working environment; to legislators whose job it is to create practices and policies that allow the healthcare system to achieve these goals.
the graying of america challenges and controversies spring 20.docxoreo10
the graying of america: challenges and controversies spring 2012 17
Can Health Care
Rationing Ever
Be Rational?
David A. Gruenewald
Case Study
Mr. M. was a 77-year-old decisionally incapacitated
long-term nursing home resident with chronic schizo-
phrenia who was admitted to the hospital with a
bacterial pneumonia. His past medical history was
notable for deteriorating functional status over the
past 2-3 years, urinary retention requiring chronic
indwelling bladder catheterization, and two recent
hospitalizations for urinary tract infections leading
to sepsis. He developed respiratory failure soon after
admission and was intubated and placed on mechani-
cal ventilation. Follow-up studies suggested worsen-
ing pneumonia and acute respiratory distress syn-
drome (ARDS), as well as worsening kidney function.
The patient was unable to participate in any decision
making. His guardian requested that cardiopulmo-
nary resuscitation and all other intensive care be pro-
vided if necessary, including dialysis should Mr. M.’s
kidney failure continue to worsen. After five days of
mechanical ventilation, the patient was weaned from
the ventilator and extubated. The palliative care ser-
vice was consulted following the extubation; his criti-
cal care team questioned whether it would be appro-
priate to re-intubate the patient if he again developed
respiratory failure. The palliative care team contacted
Mr. M.’s brother, his only living relative, who felt the
patient’s quality of life was poor and believed the
patient would not want aggressive medical care. The
staff at his nursing home was contacted, as well as
the patient’s mental health case manager, who had all
known Mr. M. for many years. All concurred with his
brother’s assessment. Additionally, the nursing home
staff said that Mr. M. would not be able to return there
if the plan was to continue more intensive medical
management of his worsening health conditions. Hos-
pice care was discussed with these parties, and it was
thought that choosing hospice would best represent
the patient’s wishes under the circumstances. The pal-
liative care team contacted his guardian and explained
the patient’s medical situation and its implications
for his ongoing care (including the need for physical
restraints, loss of stable nursing home placement, and
confinement to the acute care hospital environment
for the duration of his acute illness). Based on this new
David A. Gruenewald, M.D., is an Associate Professor of
Medicine at the University of Washington School of Medi-
cine in Seattle, Washington, and the Associate Director of the
Palliative Medicine Fellowship at the University of Wash-
ington. He is the Medical Director of the Palliative Care and
Hospice Service at VA Puget Sound Health Care System in
Seattle, Washington. He received his Bachelor of Arts (B. A.)
degree from Reed College in Portland, Oregon, and his Medical
Doctor (M.D.) degree from the University of C ...
Reply1
Re: Topic 1 DQ 2
Topic 1 DQ 2
The inclusion of evidence-based practice provides nurses with the scientific research and experience to make a comprehensive decision. The practice enables the nurses to re-evaluate the risks and only adopt the best mechanism to ensure an improved patient outcome. Patients are also able to receive the best available outcomes. It is very advisable to move the nursing practice to be evidence-based to ensure that there is patient-centered care that is safe, inclusive, and effective. However, there have been barriers towards this progress since only 15% of U.S practice is evidence-based. One of the barriers which have led to lagging behind in adopting evidence-based practice is nurse shortage. Evidence-based practice requires massive documentation and research together with increased testing and experience. This requires a large human resource which is not available due to nurse shortage across the united states (Stavor et al., 2017). This has acted as a barrier towards the goal of moving practice to evidence-based. The government should employ more nurses and also dedicate some of the workforces specifically to matters to do with shifting traditional caregiving to EBP.
The second barrier is unsupportive administration. Research indicates that over 70% of nurses know about evidence-based practice, but the barriers to the practice in a clinical setting make it hard for them to adopt it. To move practice to EBP requires active collaboration from all stakeholders and more so from the administration of the healthcare setting. However, most administrations have been termed as unsupportive for the move due to the challenges of resources involved in the move. EPB presents a huge cost in the beginning due to its data requirements. However, it is able to reduce the cost of healthcare by 35% after its implementation. Lack of support from the management makes it hard to move nursing practice to EBP in a clinical setting since it’s a collaborative activity that requires dedicated and goal-oriented leadership (Duncombe, 2018). Policies and regulations should be created which force the push to enable the administration of various healthcare to have no otherwise but to comply in the shift.
References
Stavor, D. C., Zedreck-Gonzalez, J., & Hoffmann, R. L. (2017). Improving the use of evidence-based practice and research utilization through the identification of barriers to implementation in a critical access hospital.
JONA: The Journal of Nursing Administration
,
47
(1), 56-61.
Duncombe, D. C. (2018). A multi‐institutional study of the perceived barriers and facilitators to implementing evidence‐based practice.
Journal of Clinical Nursing
,
27
(5-6), 1216-1226.
Reply 2
aur
1 posts
Re: Topic 1 DQ 2
As unprecedented development in the diagnosis, treatment, and long-term management of disease bring Americans closer than ever to the promise of personalized health care, we are faced with similarly unprecedented c.
Write a summary of chapter 2 of Lawrence Levines Black Culture and .docxnealralix138661
Write a summary of chapter 2 of Lawrence Levine's Black Culture and Black Consciousness.
Questions to consider:
What is the author's thesis/argument?
What are the author's supporting points?
What evidence does the author present to support the thesis/argument?
.
Write a summary of Robert Kegans Transformational Learning theory (.docxnealralix138661
Write a summary of Robert Kegan's Transformational Learning theory (one paragraph)
What is the Theory of Expansive Learning? (one paragraph)
Explain the work of Yrjo Engestron... (one paragraph)
**Book to look for the answers**
Contemporary Theories of Learning, Learning Theories...In Their Own Words. (2nd ed.) 2018
by Knud Illeries, Routledge Publisher
ISBN 9781351377034
https:wwwvitalsource.com/referral?term=97813513770
.
Write a two page paper on the following belowName and describ.docxnealralix138661
Write a two page paper on the following below:
Name and describe the major capabilities of database management systems and explain why a relational database can be so powerful. Provide an example of a relational database system in use today. Your example can be from research on the Internet
.
Write a two page paper, reflect on your experiences this semester in.docxnealralix138661
Write a two page paper, reflect on your experiences this semester in English 111. What have you learned about writing? what have you discovered about yourself as a writer and /or as a student? What were the most beneficial learning activities?
Things I have learned:
Concepts of compositions - Rhetorical theory, writing process, concepts of organization.
Strategies in writing
Informative Essay
Poems - Bob Dylan "Blowin in the wind", Richard Brautigan, Langston Hughes
Analyzing, responding and spring boarding
Paraphrasing
MLA documentation
Parenthetical citations
works citation entries
MLA manuscript layout
Beneficial Activity was writing about The Dumb Man by Sherwood Anderson
.
Write a Tri- fold educational brochure . Brochure must have a u.docxnealralix138661
Write a Tri- fold educational brochure . Brochure must: have a unique title, student name and an introduction be typed in 12 Calibri or times roman fonts be arranged in an orderly sequenced manner that is meaningful to readers be neatly printed and presented in color.
Prepare a client information brochure on nursing interventions necessary to meet the needs of the older adult with Presbycusis
.
Write a two (2) page essay where you describe and critically analyze.docxnealralix138661
Write a two (2) page essay where you describe and critically analyze the types, dynamics, cycles, and family changes experienced in early and middle adulthood.
The language of this activity will be assessed using the Essay Rubric.
Remember the conclusions, please. Bear in mind that the focus of the work is directed to social work
.
Write a topic review on key issue of your current agency or law .docxnealralix138661
Write a topic review on key issue of your current agency or law enforcement concern - it should be directed to community, media, city council/Board of Supervisors, department head(s), controller or private sector. Identify who your audience you are trying to convince or show an issue. This must be 1000 words, 12 fonts, time romans, APA format and in-text citation. The topic for this is
” Officer-Involved Shootings"
.
Write an analysis, 4–5 pages in length, of the gap between curre.docxnealralix138661
Write an analysis, 4–5 pages in length, of the gap between current and desired performance, with respect to the provision of safe, high-quality patient care.
Note:
Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.
As a nurse leader, you must be able to assess your organization's ability to deliver safe, high-quality patient care. In so doing, you may be required to perform a gap analysis of a quality or safety issue as the first step in improving outcomes. Failure to meet benchmarks for safe and effective patient care can have reimbursement, regulatory, and legal consequences.
This assessment provides an opportunity to develop the knowledge, skills, and attitudes required to successfully implement changes that improve patient outcomes by:
Evaluating the current culture of an organization.
Performing an outcomes gap analysis.
Determining what changes are needed to bridge the gap.
Examining current thinking on this topic contained in the literature.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Analyze quality and safety outcomes from an administrative and systems perspective.
Identify a systemic problem in an organization related to adverse quality and safety outcomes.
Propose specific practice changes within an organization that will improve quality and safety outcomes and bridge the gap between current and desired performance.
Prioritize proposed practice changes.
Competency 2: Determine how outcome measures promote quality and safety processes within an organization
Determine how proposed practice changes will foster a culture of quality and safety.
Competency 3: Determine how specific organizational functions, policies, processes, procedures, norms, and behaviors can be used to build reliable and high-performing organizations.
Determine how a particular organizational culture or hierarchy might affect or contribute to adverse quality and safety outcomes.
Justify necessary changes to particular organizational functions, processes, and behaviors that correct or mitigate adverse quality and safety outcomes.
Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.
Communicate analysis data and information clearly and accurately, using correct grammar and mechanics.
Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.
Context
Quality and safety are everyone's responsibility as a team of interprofessional care delivery partners. Together we develop policies that support quality and safe care delivery. As part of the interprofessional team.
Write an analysis paper on a poem or song lyrics of your choosing. .docxnealralix138661
Write an analysis paper on a poem or song lyrics of your choosing.
You can choose any poem (
Poetry Foundation
is a good place to look).
Be sure to mention the poet's name and the title of the poem at the beginning of your essay and refer back to them both throughout the essay.
Your essay can focus on one or more of the following:
Theme
Symbolism
Poet's purpose
Figurative Language
Mood and/or Tone
Your essay will need to be formatted using:
Times-New Roman Font
Font Size: 12 pt.
Double-spaced
MLA Heading
Indented paragraphs
1.5 or more pages long(intro paragraph, 2 or more analysis paragraphs, and a conclusion)
See the following example literary analysis essay to help you with your own.
.
Write a three-page comparative analysis of the protagonists, Roselil.docxnealralix138661
Write a three-page comparative analysis of the protagonists, Roselily, in Alice Walker's "Roselily" and Desiree in Kate Chopin's "Desiree's Baby." How does gender play a major role in the short fictions? Do the time periods in each of the literary works cause the characters to act and react in certain ways and to be treated in specific ways because of gender? What themes of constraint do these stories convey to readers? Themes are universal messages that are convey to the reader in a literary work. A theme is not one word such as love or hate. Your explicit- thesis statement should be the last sentence in the introduction. It should take an argumentative stance. All secondary sources must come from Ebscohost, journals only. Include quotations from the primary texts as well. Type your essay in the 2016 MLA format. Give your essay title. Do not repeat information any critics have already stated. Originate new ideas; no clichés. Include a works cited sheet.
.
write an analysis of the gendered dimensions of verbal and nonverbal.docxnealralix138661
write an analysis of the gendered dimensions of verbal and nonverbal communication that you observe in a public space. Consider the following in your analysis:
Did men and women tend to follow traditional expectations for nonverbal communication? Explain.
Did men and women tend to follow traditional expectations for verbal communication? Explain.
Did you notice any other patterns in your observations (verbal or nonverbal [or both])? Explain.
Did anyone violate a nonverbal expectation? Explain. What was the response to the violation?
.
Write a three-page (900 words) summary and reflection in APA style o.docxnealralix138661
Write a three-page (900 words) summary and reflection in APA style on Book 1 of
Mere Christianity
by C. S. Lewis.
The first part is a one-page summary of the content, in which you must have two direct quotes of key sentences in the book. The last two pages are your reflection of the chapter.
.
Write a three-page analysis using the case study on pages 311–313 in.docxnealralix138661
Write a three-page analysis using the case study on pages 311–313 in your textbook: “Kelly’s Assignment in Japan.” (Deresky, H. (2017).
International management: Managing across borders and cultures
(9th ed.). Hoboken, NJ: Pearson)
analysis should address the questions listed below.
Explain the clashes in culture, customs, and expectations that occurred in this situation.
What stage of culture shock is Kelly’s family experiencing?
Turn back the clock to when Kelly was offered the position in Tokyo. What, if anything, should have been done differently, and by whom?
You are Kelly. What should you do now?
follow APA guidelines for formatting all resources, both in-text citations and references.
.
Write an analysis of modern poetry in English with reference to any .docxnealralix138661
Write an analysis of modern poetry in English with reference to any modern poet.
you have to write at least 2 pages
Introduction -1 You have to write a brief introduction on English poetry before modern period ( 50 -70 words)
introduction -2 You have to write what is modern poetry and when it started in England and what are the main social influences and characteristics
In the main body you can discuss modern poetry in English in reference to a modern poet / poem of your choice mentioning the modernist elements in it.
.
Write an analysis of a text (journal article, magazine article, edit.docxnealralix138661
Write an analysis of a text (journal article, magazine article, editorial, speech, book, or website) that breaks down the text you are analyzing and shows how it works to inform, persuade, or entertain an audience. Your analysis should read the text carefully and also offer insight into how the text adds new perspective to a particular cultural or social issue that is important to you.
.
Write an additional 3 to 5 pages that details the design and associa.docxnealralix138661
Write an additional 3 to 5 pages that details the design and associated logic to implement name resolution. Include the specific placement of any required Domain Controllers (DCs), Global Catalog Domain Controllers (GC/DCs) and Read-Only Domain Controllers (RODCs). Address the following requirements from the service request:
• Kudler Fine Foods
o Replication strategy to include the possible use of RODCs
• Locations outside of California will have one location that has a fast connection networked via slower connections to all other locations in the state.
• All locations in California will have fast connections.
Format your paper as an appropriate business document. In-text citations and references must be consistent with APA guidelines.
Include at least two references
.
Write an 800-1,000-word essay on your personal worldview. Briefly di.docxnealralix138661
Write an 800-1,000-word essay on your personal worldview. Briefly discuss the various possible meanings of the term "spirituality," and your understanding of the concepts of pluralism, scientism, and postmodernism. Primarily, address the following seven basic worldview questions:
What is prime reality?
What is the nature of the world around us?
What is a human being?
What happens to a person at death?
Why is it possible to know anything at all?
How do we know what is right or wrong?
What is the meaning of human history?
.
Write an 8-10-page paper on an organization of your choice The .docxnealralix138661
Write an
8-10-page
paper on an organization of your choice The organizational analysis will contain the following sections:
Introduction of the organization, including history and background.
Organizational strategy.
Organizational design and your assessment of effectiveness.
Organizational culture.
Conclusion and what you would change about the selected organization for improvement.
NOTE
: Paper should be in APA Format with in-text citation.( double-spaced, and have uniform 1-inch margins in 12-point Times New Roman font )
.
Write a three- to five-page paper in which you do the following.docxnealralix138661
Write a three- to five-page paper in which you do the following:
Compare and contrast the Comprehensive Annual Financial Report (CAFR) of the selected local government entity with the government entity identified in the Week 1 homework. In your comparison, include the following:
The publication method of the CAFR;
Audit and budget information in the CAFR;
The type of audit report issued; and
The existence or nonexistence of an internal audit function within the government entity.
Prepare the analysis for the selected local government entity, including information on the introduction, and financial section.
Analyze the methods used by the selected local government entity in comparing the budget-to-actual reports. Your analysis should include an evaluation of the basis of accounting used for the budget and financial statements.
Analyze the sources of revenue for the selected local government. Your analysis should include information on both governmental and business-type activities of the government. In your report, be sure to examine the following:
Property taxes and how they are accounted for;
Other sources identified as primary revenue for the entity;
Deferred revenue;
Year-to-year variations in the tax levels of income;
Various management discussion and analysis items of note; and
Information about the general fund.
.
Write an 700 words essay (APA format) contracting the two study heri.docxnealralix138661
Write an 700 words essay (APA format) contracting the two study heritages, answering the questions below:
1. Discuss the organization and the family role in every one of the heritages mentioned about and how they affect (positively or negatively) the delivery of health care.
2. Identify sociocultural variables within the Irish, Italian and Puerto Rican heritage and mention some examples.
References must be no older than 5 years. A minimum of 700 words must be presented excluding the first and reference page.
.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
How to Add Chatter in the odoo 17 ERP ModuleCeline George
In Odoo, the chatter is like a chat tool that helps you work together on records. You can leave notes and track things, making it easier to talk with your team and partners. Inside chatter, all communication history, activity, and changes will be displayed.
Normal Labour/ Stages of Labour/ Mechanism of LabourWasim Ak
Normal labor is also termed spontaneous labor, defined as the natural physiological process through which the fetus, placenta, and membranes are expelled from the uterus through the birth canal at term (37 to 42 weeks
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...Dr. Vinod Kumar Kanvaria
Exploiting Artificial Intelligence for Empowering Researchers and Faculty,
International FDP on Fundamentals of Research in Social Sciences
at Integral University, Lucknow, 06.06.2024
By Dr. Vinod Kumar Kanvaria
Delivering Micro-Credentials in Technical and Vocational Education and TrainingAG2 Design
Explore how micro-credentials are transforming Technical and Vocational Education and Training (TVET) with this comprehensive slide deck. Discover what micro-credentials are, their importance in TVET, the advantages they offer, and the insights from industry experts. Additionally, learn about the top software applications available for creating and managing micro-credentials. This presentation also includes valuable resources and a discussion on the future of these specialised certifications.
For more detailed information on delivering micro-credentials in TVET, visit this https://tvettrainer.com/delivering-micro-credentials-in-tvet/
This presentation includes basic of PCOS their pathology and treatment and also Ayurveda correlation of PCOS and Ayurvedic line of treatment mentioned in classics.
MATATAG CURRICULUM: ASSESSING THE READINESS OF ELEM. PUBLIC SCHOOL TEACHERS I...NelTorrente
In this research, it concludes that while the readiness of teachers in Caloocan City to implement the MATATAG Curriculum is generally positive, targeted efforts in professional development, resource distribution, support networks, and comprehensive preparation can address the existing gaps and ensure successful curriculum implementation.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
Chapter 4 - Islamic Financial Institutions in Malaysia.pptx
Write a summary of the article Putting the Man in Contraceptiv.docx
1. Write a summary of the article:
"Putting the Man in Contraceptive Mandate". Discuss why
both the individual and society should be concerned about
current and future implications of this issue. Address each of
the suggestions for change. Your opinion is valued in this
summary.
Contraception 89 (2014) 3–5
ARHP Commentary ― Thinking (Re)Productively
Putting the man in contraceptive mandate☆
Brian T. Nguyena,⁎, Grace Shihb, David K. Turokc
aDepartment of Obstetrics and Gynecology, Oregon Health and
Sciences University, 3181 Southwest Sam Jackson Park Road,
Box L466,
Portland, OR 97239, USA
bDepartment of Family Medicine, University of Washington,
Seattle, WA 98195, USA
cDepartment of Obstetrics and Gynecology, University of Utah,
Salt Lake City, UT 84132, USA
Received 20 August 2013; revised 28 September 2013; accepted
1 October 2013
☆ Disclaimer: T
the authors and do
Association of Rep
⁎ Correspondin
E-mail address:
2. 0010-7824/$ – see
http://dx.doi.org/10
This monthly commentary is contributed by the Association of
Reproductive Health Professionals
to provide expert analysis on pressing issues in sexual and
reproductive health.
Learn more at www.arhp.org.
Announced on January 20, 2012, and made effective
August 1, 2012, the “contraceptive mandate” is an extension
of the Patient Protection and Affordable Care Act (ACA) that
sanctioned the provision of contraceptives and sterilization
services to women at no cost. While the mandate is a
landmark for women's health care, it has not yet directly
addressed a role for men. Male involvement is often either
absent or a late addition to reproductive policies, as seen with
past developments in sexual health such as emergency
contraception [1], the human papillomavirus vaccine [2] and
expedited partner therapy for sexually transmitted infections
[3]. As written currently, the ACA does not direct insurance
carriers to reimburse for vasectomy nor prospective male
contraceptives or counseling [4].
Sterilization rates in the USA have remained fairly
constant over the last 40 years. The National Survey of
Family Growth (2006–2010) reported that 27% of women
rely on female sterilization for birth control; only 10% rely on
their partners' vasectomies [5,6]. The exclusion of coverage
for vasectomy may widen this disparity by comparatively
increasing cost barriers and decreasing social expectations for
he views expressed in this editorial are solely those of
not necessarily reflect the opinions or views of the
roductive Health Professionals or its representatives.
g author.
[email protected] (B.T. Nguyen).
4. http://dx.doi.org/10.1016/j.contraception.2013.10.001
mailto:[email protected]
http://dx.doi.org/10.1016/j.contraception.2013.10.001
4 ARHP Commentary ― Thinking (Re)Productively /
Contraception 89 (2014) 3–5
In addition to being more effective and safer than female
sterilization methods, vasectomy is less expensive. A 2012 cost
index cites the average cost of vasectomy as approximately US
$ 708,compared to theaveragecost oftubal ligation methods at
US$ 2912 [18]. Tubal ligations performed in the operating
room incur anesthesia fees, leading to procedures costing up to
US$ 3449. Even office-based transcervical methods, US$
1374, are still more expensive than vasectomy [19].
Despite the comparatively low cost of vasectomy, a quarter
of insurance carriers do not cover the procedure [20]. Even if
insurers paid for 70% of the procedure, the cost to the patient
would still be significant (e.g., a 30% patient portion of the
US$ 708 vasectomy fee is US$ 212) [18]. Men with insurance
may not even see any benefit as they may still be responsible
for the full cost of their deductibles, which, at an average of
US$ 1097, is already greater than the cost of a vasectomy [21].
Some insurance carriers may independently elect to provide
vasectomies without cost sharing; however, a national policy
mandating coverage of this highly effective and cost-effective
procedure would aid efforts to increase widespread uptake.
Even the least costly, most commonly performed and
effective method of female sterilization, postpartum partial
salpingectomy, can only be performed within 48 h of
delivery. Furthermore, only half of women desiring the
procedure ultimately receive it [22,23]. Considered an
elective procedure, postpartum tubal ligations are subject
to routine delays on labor and delivery, as well as the
5. religious affiliations at approximately 12% of hospitals that
prohibit provision [24]. Regret may also be more common in
the postpartum rather than interval setting [25], especially for
low-income, minority women who may feel pressured to
accept their only perceived opportunity for a Medicaid-
funded sterilization [26]. As patients may not seek
sterilization outside the postpartum context or receive less
effective procedures at a later date, the availability of no-cost
vasectomy is especially important [27].
Though health care providers should prioritize the care of
women, the lack of male involvement in reproductive health
care contributes to the excessive burdens of reproduction and
contraception that these women experience. Without guaran-
teed reimbursement for the care of male patients, reproductive
health clinics will lack the financial incentive to broaden care
to include male-specific services and outreach. The margin-
alization of men in family planning clinics has the untoward
effect of deterring men who, despite their need for help,
consider these environments too embarrassing or exclusive to
use [28]. Some states already attribute rising rates of
gonorrhea and chlamydia to the inability of low-resource
clinics to reach men [29]. Low rates of male attendance at
reproductive health clinics may mislead funding sources into
believing that men are not interested in these resources, when
in fact more funding is needed to improve the visibility of
vasectomy, train more providers and correct widespread
misconceptions that prevent its uptake [30]. As novel male
contraceptives are currently under study, their subsidy and
support from the government and pharmaceutical manufac-
turers depends on perceived demand as well, which may
decrease due to the ACA's emphasis on the sufficiency of
reproductive care for women alone [31].
The US government has recognized the importance of
family planning by approving the contraceptive mandate;
6. however, its exclusion of vasectomy and provisions for
prospective male contraceptives reflect the nation's current
view of family planning as a “woman's issue.” An amendment
to the contraceptive mandate would help to establish family
planning as a “human issue,” for which the involvement of
men will increase safety and overall savings, as well as
ethically balance the weight of the reproductive burden.
1. Call to action
The Health Resources and Services Administration of the
US Department of Health and Human Services (DHHS)
recognizes the unique health needs of women and extended
their health care coverage under the ACA to include several
preventive services, including the provision of contraceptive
counseling, contraceptive methods and sterilization. How-
ever, the current federal interpretation of this legislation
excludes family planning services for men despite the fact
that women benefit from male reproductive awareness and
use of contraceptives.
There are still multiple avenues for change:
1. The DHHS can directly amend the ACA's contracep-
tive mandate to specifically include cost-free coverage
of male contraceptives, sterilization and counseling.
2. The US Preventive Services Task Force can formally
evaluate the benefits of providing not only counseling but
also contraceptive and sterilization services to both men
and women. Should these services receive at least a Grade
B recommendation, all new insurance plans would be
required to cover contraception and sterilization.
3. States have the ability to extend coverage to men when
composing the Essential Health Benefits expected to be
covered by all insurance providers and respective state
7. Medicaid plans in 2014.
4. In 2016, the federal government will revisit how
Essential Health Benefits are defined and at that point
can explicitly include male and female reproductive care
among the categories of essential health services.
The National Health Law Program, a public interest law
firm serving underserved and underinsured Americans, has
already begun asking the DHHS to extend critical reproductive
services to men. Their efforts will be bolstered by the written
contribution of physicians and health care providers to state
and federal representatives. Government representatives may
otherwise beunaware of the efficacy, safety and cost savings of
vasectomy compared to tubal ligation, as well as the patient
experiences of health care inequality that provide the
emotional impact needed to invoke change. Petitions can
further help representatives understand the demand for gender
5ARHP Commentary ― Thinking (Re)Productively /
Contraception 89 (2014) 3–5
equality in reproductive decision making. Awareness cam-
paigns and social media need to be used to inform more people
about the significant benefits of male contraception and
sterilization, as well as their underuse compared to female
methods. Support of more research on male methods, their
safety and their impact on reproductive health outcomes will
better inform clinical practice recommendations that will
impact future amendments to the ACA.
References
[1] EC: questions and answers. US Food and Drug
Administration. 14 Dec
2006. Accessed 18 Jan 2013
8. http://www.fda.gov/Drugs/DrugSafety/
PostmarketDrugSafetyInformationforPatientsandProviders/
ucm109783.htm.
[2] Burgess S. FDA approves newindication for gardasil to
prevent genital warts
in men and boys. FDA News Release. Accessed 18 Jan 2013.
http://www.
fda.gov/newsevents/newsroom/pressannouncements/ucm187003.
htm.
[3] Legal Status of Expedited Partner Therapy (EPT). Sexually
Transmit-
ted Diseases. Centers for Disease Control and Prevention, 24/7:
Saving
Lives, Protecting People. Website. Accessed 18 Jan 2013
http://www.
cdc.gov/std/ept/legal/default.htm.
[4] Department of Health and Human Services. Coverage of
certain
preventive services under the Affordable Care Act. Federal
Register,
Proposed Rules. 6 Feb 2013; 78(25): 8456-8458.
[5] NCHS Fact Sheet, National Survey of Family Growth.
Centers for
Disease Control and Prevention, 24/7: Saving Lives, Protecting
People. Website. Accessed 24 Jun 2013
http://www.cdc.gov/nchs/
data/factsheets/factsheet_nsfg.htm.
[6] Jones J, Mosher W, Daniels K, et al. Current contraception
use in the
United States 2006–2010, and changes in patterns of use since
1995.
9. National Health Statistics Reports. 18 Oct 2012; 60.
[7] Shih G, Turok DK, Parker WJ. Vasectomy: the other (better)
form of
sterilization. Contraception 2011;83:310-5.
[8] Peterson HB, Xia Z, Huges JM, et al. The risk of pregnancy
after tubal
sterilization: findings from the US Collaborative Review of
Steriliza-
tion. Am J Obstet Gynecol 1996;174(4):1161-8.
[9] Jamieson DJ, Costello C, Trussell J, et al. The risk of
pregnancy after
vasectomy. Obstet Gynecol 2004;103(5 Pt 1):848-50.
[10] Trussell J, Leveque JA, Koenig JD, et al. The economic
value of
contraception: a comparison of 15 methods. Am J Public Health
1995;85(4)
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1615115/
pdf/amjph00442-0032.pdf.
[11] Hatcher RA, Trussell J, Nelson AL, et al. Contraceptive
technology
(20th revised edition). New York: Ardent Media; 2011.
[12] Adams CE, Wald M. Risks and complications of
vasectomy. Urol Clin
N Am Aug 2009;36(3):331-6.
[13] Trussell J, Leveque JA, Koenig JD, et al. The economic
value of
contraception: a comparison of 15 methods. Am J Public Health
1995;85:494-503.
This content was developed by the Associat
10. ARHP has served as the leading source for e
their patients. Learn more at www.arhp.org
[14] Dilation and Curettage. Healthcare Blue Book. Website.
Accessed 24
Jun 2013.
http://www.healthcarebluebook.com/page_Results.aspx?
id=282&dataset=MD&g=Dilation%20and%20Curettag.
[15] March of Dimes. The healthcare costs of having a baby.
Website. Accessed
June 2008
http://www.marchofdimes.com/aboutus/14817_25927.asp.
[16] Peterson HB, Xia JM, Huges JS, et al. The risk of ectopic
pregnancy
after tubal sterilization. N Engl J Med 1997;336:762-7.
[17] Agency for Healthcare Research and Quality. Healthcare
Cost and
Utilization Project (HCUP). Website. Accessed June 2008
http://
hcupnet.ahrq.gov/.
[18] Trussell J. Update on and correction to the cost-
effectiveness of
contraceptives in the United States. Contraception Jun
2012;85(6):611.
[19] Levie MD, Chudnoff SG. Office hysteroscopic sterilization
compared
with laparoscopic sterilization: a critical cost analysis. J Minim
Invasive Gynecol Jul-Aug 2005;12(4):318-22.
[20] Kurth A, Bielinski L, Graap K, et al. Reproductive and
sexual health
benefits in private health insurance plans in Washington State.
11. Fam
Plan Perspect 2001;33(4).
[21] Rae M, Panchal N, Claxton G. Snapshots: The Prevalence
and Cost of
Deductibles in Employer Sponsored Insurance. The Henry J
Kaiser
Family Foundation. Website. Written Nov 2012. Accessed Sep
2013
http://kff.org/health-costs/issue-brief/snapshots-the-prevalence-
and-
cost-of-deductibles-in-employer-sponsored-insurance/.
[22] Boardman LA, Desimone M, Allen RH. Barriers to
completion of
desired postpartum sterilization. R I Med J 2013;96(2):32-4.
[23] Zite N, Wuellner S, Gilliam M. Failure to obtain desired
postpartum
sterilization: risk and predictors. Obstet Gynecol April
2005;105(4):794-9.
[24] The facts about Catholic healthcare. Catholics for a free
choice. Sep
2005. Accessed 11 July 2013.
http://www.catholicsforchoice.org/
topics/healthcare/documents/2005factsaboutcatholichealthcare.p
df.
[25] Wilcox LS, ZXeger SL, Chu SY, et al. Risk factors for
regret after tubal
sterilization: 5 years of follow-up in a prospective study. Fertil
Steril
1991;55:927-33.
[26] Hillis SD, Marchbanks PA, Tylor LR, et al.
12. Poststerilization regret:
findings from the United States Collaborative Review of
Sterilization.
Obstet Gynecol 1999;93:889-95.
[27] Access to postpartum sterilization. Committee Opinion No.
530. American
College of Obstetricians and Gynecologists. Obstet Gynecol
2012;120:212-
5http://www.acog.org/Resources%20And%20Publications/
Committee%20Opinions/Committee%20on%20Health%20Care%
20for%20Underserved%20Women/Access%20to%20Postpartum
%
20Sterilization.aspx.
[28] Lindberg C, Lewis-Spruill C, Crownover R. Barriers to
sexual and
reproductive health care: urban male adolescents speak out.
Issues
Compr Pediatr Nurs 2006;29(2):73-88.
[29] Dailard C. Family Planning Clinics And STD Services. The
Guttmacher Report on Public Policy. Aug 2002; 5(3). Accessed
30
Jun 2013
http://www.guttmacher.org/pubs/tgr/05/3/gr050308.html.
[30] Shih G, Dube K, Sheinbein M, et al. He's a real man: a
qualitative
study of the social context of couples' vasectomy decisions
among a
racially diverse population. Am J Mens Health May
2013;7(3):206-13.
[31] Dorman E, Bishai D. Demand for male contraception.
Expert Rev
13. Pharmacoecon Outcomes Res 2012;12(5):605-13.
ion of Reproductive Health Professionals. Since 1963,
vidence-based educational resources for providers and
.
http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInf
ormationforPatientsandProviders/ucm109783.htm
http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInf
ormationforPatientsandProviders/ucm109783.htm
http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInf
ormationforPatientsandProviders/ucm109783.htm
http://www.fda.gov/newsevents/newsroom/pressannouncements/
ucm187003.htm
http://www.fda.gov/newsevents/newsroom/pressannouncements/
ucm187003.htm
http://www.cdc.gov/std/ept/legal/default.htm
http://www.cdc.gov/std/ept/legal/default.htm
http://www.cdc.gov/nchs/data/factsheets/factsheet_nsfg.htm
http://www.cdc.gov/nchs/data/factsheets/factsheet_nsfg.htm
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1615115/pdf/amj
ph00442-0032.pdf
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1615115/pdf/amj
ph00442-0032.pdf
http://www.healthcarebluebook.com/page_Results.aspx?id=282
&dataset=MD&g=Dilation%20and%20Curettag
http://www.healthcarebluebook.com/page_Results.aspx?id=282
&dataset=MD&g=Dilation%20and%20Curettag
http://www.marchofdimes.com/aboutus/14817_25927.asp
http://hcupnet.ahrq.gov/
http://hcupnet.ahrq.gov/
http://kff.org/health-costs/issue-brief/snapshots-the-prevalence-
and-cost-of-deductibles-in-employer-sponsored-insurance/
http://kff.org/health-costs/issue-brief/snapshots-the-prevalence-
and-cost-of-deductibles-in-employer-sponsored-insurance/
http://www.catholicsforchoice.org/topics/healthcare/documents/
2005factsaboutcatholichealthcare.pdf