Special report on reimbursement. HCFA enacts new enforcement remedies covering nursing facilities

While the regulations are revolutionary in their use of "substantial compliance," the interpretation and application of HCFA's new remedial scheme are still uncertain, as states are given broad discretion in defining important terms and in applying and interpreting the criteria to select remedies. Further complicating the issue is the fact that some states, including California, intend to seek waivers from HCFA to substitute their own state enforcement systems for most, if not all, of the new federal system. Based upon these uncertainties, the enforcement of nursing facility standards will likely be in a state of flux for some time to come.     

Toward a demo-anthropological perspective on nuptiality and its relationship with new reproductive patterns: consideration of a study carried out in the area surrounding Zacatepec,Morelos

"The research is based on a study carried out between 1989 and 1991 in the three rural communities in the state of Morelos [Mexico] that included a socio-demographic survey and interviews. The methodological goal of the authors is to view nuptiality from demographic and anthropological standpoints.... The authors seek to pinpoint the elements that account for changes that have taken place in nuptiality, as well as to identify the impact of these changes on [descendants]." (SUMMARY IN ENG)     

Comparative analysis of the effects of alcoholic drinks of different qualities (author's transl)

The authors compared the effects of alcoholic drinks rich in fusel oil with the effects of diluted pure alcohol of the same quantity on 19 clinically healthy university students. The investigations utilized EEG and physiopsychic testing methods. The clinical symptoms were observed both under the effect of drinks and in a crapulous state ("hang-over"). It was found that alcoholic drinks rich in fusel oil can produce a more deviating EEG curve, an increased worsening of physiopsychic performance and of clinical and subjective symptoms. The necessity of regular quality control of alcoholic beverages is pointed out.