The Caravan Rolls On

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68409/2/10.1177_107554707900100103.pd

Self-help groups challenge health care systems in the US and UK

Purpose: This research considers how self-help groups (SHGs) and self- help organizations (SHOs) contribute to consumerist trends in two different societies: United States and United Kingdom. How do the health care systems and the voluntary sectors affect the kinds of social changes that SHGs/SHOs make? Methodology/approach: A review of research on the role of SHGs/SHOs in contributing to national health social movements in the UK and US was made. Case studies of the UK and the US compare the characteristics of their health care systems and their voluntary sector. Research reviews of two community level self-help groups in each country describe the kinds of social changes they made. Findings: The research review verified that SHGs/SHOs contribute to national level health social movements for patient consumerism. The case studies showed that community level SHGs/SHOs successfully made the same social changes but on a smaller scale as the national movements, and the health care system affects the kinds of community changes made. Research limitations: A limited number of SHGs/SHOs within only two societies were studied. Additional SHGs/SHOs within a variety of societies need to be studied. Originality/value of chapter Community SHGs/SHOs are often trivialized by social scientists as just inward-oriented support groups, but this chapter shows that local groups contribute to patient consumerism and social changes but in ways that depend on the kind of health care system and societal context

A needs-based purchasing plan for child mental health services

SIGLEAvailable from British Library Document Supply Centre- DSC:q95/02002 / BLDSC - British Library Document Supply CentreGBUnited Kingdo

Hypervalent intramolecular coordination in main group chemistry: a template synthesis and crystal structure of an ortho-oximinoarylphosphonium salt

The nickel(II)-catalysed reaction of triphenylphosphine with the oxime of ortho-bromoacetophenone gives an ortho-oximinoarylphosphonium salt, which shows a hypervalent intramolecular coordinative interaction between the oximino-nitrogen and the phosphonium centre

Effective commissioning Lessons from purchasing in American managed care

SIGLEAvailable from British Library Document Supply Centre-DSC:98/18053 / BLDSC - British Library Document Supply CentreGBUnited Kingdo

(2R,3S,4S,5R)-4-hydroxy-3-iodo-5-methyltetrahydro-2-furylmethyl benzoate

The crystal structure determination of the title compound, C13H15IO4, has allowed the relative stereochemistry between the tetrasubstituted C atoms on the tetrahydrofuran moiety to be confirmed. The title compound is a precursor of the ionophoric antibiotic Aplasmomycin. The compound is involved in both intra- and intermolecular hydrogen bonding, the latter link the molecules into chains running along the b axis

The synthesis and characterisation of masked phosphonioalkyl selenoates: potential ligands for the production of functionalised gold nanoparticles

Two new masked phosphonioalkylselenoate ligands, bis(3-triphenylphosphoniopropyl)diselenide- and 6-(selenocyano)hexyl-triphenylphosphonium-selenocyanates, have been prepared. The molecular structure of the bis(3-triphenylphosphoniopropyl)diselenide diselenocyanate has been determined by X-ray crystallography. The structure reveals an overall stoichiometry of {[Ph3P+(CH2)3Se]2(SeCN?)2 · KOH}, with the bis(3-triphenylphosphoniopropylselenium)diselenocyanate units arranged in pairs around an inversion centre. The potassium ion is disordered over several positions but its main component forms a near linear KSe contact to one of the selenium atoms in the diselenide bond. The hexyl derivative, 6-(selenocyano)hexyl-triphenylphosphonium selenocyanate forms as a yellow oil that was characterised spectroscopically. Both phosphonioalkylselenide cations undergo reductive cleavage to form phosphonioalkylselenoate zwitterions. Attempts to prepare phosphonioalkylselenoate-functionalised gold nanoparticles in situ through the NaBH4-promoted reduction of tetrachloroaurate salts in a water/dichloromethane biphasic system are also described