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During the past few year's the health care delivery system of the United States has come under increasingly close scrutiny and attack by citizens concerned over the illogical distribution and cost of receiving adequate health care. Outcries for changing our current standards of health care delivery have reached the attention not only of consumer groups but also influential individuals in various levels of state and federal government. One need only look at proposed legislation (1-3) recently introduced in both the United States Senate and the House of Representatives , concerning enactment of some form of national health insurance, to grasp fully the urgency of demand for change currently facing our health care delivery patterns. A look at the startling economic picture depicting our current pattern of health care delivery further illustrates the status of the health care within the United States.

The purpose of this study was to explore the patterns of utilization of mental health services in the Latino community. Fifty male and female adult Latinos in the general population of San Bernardino County and Riverside County were surveyed. The questionnaire consisted of demographic information and information on beliefs and attitudes about subjects' help seeking behaviors.

The purpose of this community needs assessment was to explore the unmet health needs in some of the communities of Riverside County, to discover which populations are most adversely affected by these unmet needs, and to determine what barriers hinder individuals from getting their needs met. United Way of the Inland Valleys, in cooperation with Kaiser Permanente of Riverside conducted this study as part of their community based needs assessment.

Conventional methods for health assessment of wild-caught and stranded seals were used to describe the disease status of harbor seals in California. Clinical chemistry, infectious disease prevalence, immune function, and contaminant data were collected to evaluate harbor seal health with data collected from three groups of seals. Wild-caught seals of all ages were sampled at two locations: San Francisco Bay (a heavily urbanized estuary) and Tomales Bay (a less developed control site). Stranded seals entered rehabilitation from a more extensive portion of the California coast which included the locations where seals were caught. Hematology reference intervals were generated to provide a baseline for health assessment among the seals. Individual variability in blood variables among seals was affected by age, sex, location, and girth. Disease surveillance focused on pathogens known to cause lesions in harbor seals, zoonoses, and those with terrestrial sources. Specific pathogens of interest were E coli, Clostridium perfringens, Vibrio spp, Campylobacter spp, Salmonella, Giardia, Cryptosporidium, avian influenza virus, Brucella, Leptospira spp., Toxoplasma gondii, Sarcocystis neurona, and Neospora caninum, Leptospira spp, and phocine and canine distemper virus. There was evidence of exposure to all pathogens except for phocine distemper virus. Simple measures of immune response were used to evaluate the immune function of harbor seal pups in rehabilitation that had evidence of previous bacterial infection. The swelling response to a subcutaneous injection of phytohemagglutinin (PHA) was positively associated with growth rate, possibly illustrating the energetic trade-offs between growth and immunity. Blubber contaminant concentrations (PCBs, DDTs, PBDEs, CHLDs, and HCHs) in harbor seal pups were grouped by extent of suckling and strand location. The ratio of PCB:DDT was increased in San Francisco Bay and decreased in Monterey Bay compared with other locations along the coast. Pups that weaned in the wild, lost weight and then stranded had the highest contaminant levels, equivalent to the concentrations detected in stranded adult harbor seals. Dispersal and survival were monitored by satellite telemetry in harbor seal pups released from rehabilitation and recently weaned wild-caught pups to assess the effect of condition, health, and contaminant levels on survival probability. Increased contaminant levels and decreased thyroxine (T4) were associated with decreased survival probability. Increased mass, particularly among the rehabilitated pups, was associated with increased survival probability. This study demonstrates that health and survival of harbor seals pups along the central California coast are impacted by human activities such as contaminant disposal, pathogen pollution and boat traffic, although the variability in individual health measures requires carefully designed studies to detect these effects.

The purpose of this study was to examine the effect of perceived discrimination on Samoan health. This study employed purposive data collection and was conducted quantitatively using a questionnaire format, which measured everyday perceived discrimination, depression, and physical health.