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Quick! an industrial community has significant homelessness. the vaccination rate is low, and many people have chronic illnesses such as diabetes and depression. question: which issue in this community can most likely be addressed by a health center? choices: (a) illness due to industrial toxins (b) access to public transportation (c) access to jobs at local businesses (d) rates of poverty and homelessness

Latesha moore has a choice at work between a traditional health insurance plan that pays 80 percent of the cost of doctor visits after a $250 deductible and an hmo that charges an $8 co-payment per visit + a $20 monthly premium deduction from her paycheck. latesha anticipates seeing a doctor once a month for her high blood pressure. the cost of each office visit is $50. she normally sees the doctor an average of three times a year for other health concerns. comment on the difference in costs between the two health care plans and the advantages and disadvantages of each.

A46-year-old man with a history of hypertension and hypercholesterolemia visits the physician for a routine followup. the patient's job involves a lot of travelling, and he admits to occasionally forgetting to take his medications with him when he travels. he complains of several episodes of chest pain in the past few months. the pain is sharp in nature, mainly over his lower chest and epigastrium, and tends to come on when walking. he believes these episodes are due to indigestion and has been taking antacids. there is a family history of heart disease, and his father died of a heart attack at age 48. on physical examination, his blood pressure is 150/80 mmhg and heart rate is 86/min. his lungs are clear to auscultation. cardiac auscultation reveals normal rate and rhythm, without rubs, gallops, or murmurs. there is no pedal oedema. he is sent for an exercise stress test. five minutes into the test, he develops st depression of 3mm in leads v1-v5. the st segment depression is greater than 0.12 seconds in duration and the stress test is stopped. which of the following is the most appropriate next step in management? - coronary angiography- holter monitor- no further tests are required- repeat stress test with thallium- upper gastrointestinal endoscopy