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possible Many hospitals have expanded into long-term and home health-care services, providing a wide range of care for the communities they serve Nursing and residential care facilities Nursing care facilities provide inpatient nursing, rehabilitation, and health-related personal care to those who need continuous nursing care, but do not require hospital services Nursing aides provide the vast majority of direct care Other facilities, such as convalescent homes, help patients who need less assistance Residential-care facilities provide around-theclock social and personal care to children, the elderly, and others who have limited ability to care for themselves Workers care for residents of assisted-living facilities, alcohol- and drug-rehabilitation centers, group homes, and halfway houses Nursing and medical care, however, are not the main functions of establishments providing residential care, as they are in nursing-care facilities Of ces of physicians About 37 percent of all health-care establishments fall into this industry segment.

Physicians and surgeons practice privately or in groups of practitioners who have the same or different specialties Many physicians and surgeons prefer to join group practices because they afford backup coverage, reduce overhead expenses, and facilitate consultation with peers Physicians and surgeons are increasingly working as salaried employees of group medical practices, clinics, or integrated health systems Of ces of dentists About one out of every ve health-care establishments is a dentist s of ce Most employ only a few workers, who provide preventative, cosmetic, or emergency care Some of ces specialize in a single eld of dentistry such as orthodontics or periodontics Home health-care services Skilled nursing or medical care is sometimes provided in the home, under a physician s supervision Home health-care services are provided mainly to the elderly.

As when browsing the Web, you can zoom in to see your e-mail in larger text. You can also double-tap, just as you do on the Web; and you can also Pinch to zoom in or out (see the Zooming section in our Quick Started Guide in Part 1 of this book.)

interact with other applications based on Web Services (SOAP/HTTP), XML, and Java. The other option for CICS applications to use for integration using WESB is to first employ the CICS Transaction Gateway for exposing the CICS applications as Web Services. Similarly, Figure 9.12 shows one possible way to integrate an IMS mainframe application with other XML/SOAP and Java-based applications using IMS SOAP Gateway, which first exposes IMS applications as Web Services. This second choice would have to use IMS TM Resource

The development of in-home medical technologies, substantial cost savings, and patients preference for care in the home have helped change this once small segment of the industry into one of the fastest growing parts of the economy Of ces of other health practitioners This segment of the industry includes the of ces of chiropractors, optometrists, podiatrists, occupational and physical therapists, psychologists, audiologists, speech-language pathologists, dietitians, and other health practitioners Demand for the services of this segment is related to the ability of patients to pay, either directly or through health insurance Hospitals and nursing facilities may contract out for these services This segment also includes the of ces of practitioners of alternative medicine, such as acupuncturists, homeopaths, hypnotherapists, and naturopaths Outpatient-care centers The diverse establishments in this group include kidney dialysis centers, outpatient-mental-health and substance-abuse centers, healthmaintenance organization medical centers, and freestanding ambulatory surgical and emergency centers.

Some e-mail attachments are opened automatically by the iPad, so you don t even notice that they were attachments. Examples include Adobe PDF files and some types of image, video, and audio files. You may also receive documents such as Apple Pages,

Other ambulatory health-care services This relatively small industry segment includes ambulance and helicopter transport services, blood and organ banks, and other ambulatory health-care services, such as pacemaker-monitoring services and smoking-cessation programs..

Figure 9.12 WebSphere ESB based IMS application integration with other XML, SOAP, and Java/J2EE applications

9 Medical and diagnostic laboratories Medical and diagnostic laboratories pro-

Numbers, Keynote, Microsoft Word, Excel, and PowerPoint files as attachments. You will need to open these.

vide analytic or diagnostic services to the medical profession or directly to patients following a physician s prescription Workers may analyze blood, take x rays and computerized tomography scans, or perform other clinical tests Medical and diagnostic laboratories provide the fewest number of jobs in the health-care industry In the rapidly changing health-care industry, technological advances have made many new procedures and methods of diagnosis and treatment possible Clinical developments, such as infection control, less invasive surgical techniques, advances in reproductive technology, and gene therapy for cancer treatment, continue to increase the longevity and improve the quality of life of many Americans Advances in medical technology also have improved the survival rates of trauma victims and the severely ill, who need extensive care from therapists and social workers as well as other support personnel.

Adapter inside a J2EE container, such as WebSphere Application Server, to enable IMS applications to take part in a WESB-based integrated IT environment.