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Southern Illinoisan (Newspaper) - June 26, 1974, Carbondale, Illinois 010175 PUBLICATIONOFFICE Carbondale 710 N Illinois Murphysbere 1113 Walnut Herrin 212 N 1Mb Southern niinoisarf LIBRARY LSNEWSPAPERS BOX 789 ILL 62525 SucoMsor to CirbondsU Hcrrln Dally Journal Murphy stioro IndqMndtnt I50I5c a Copy 4 Sections S 1W4 Area By Henry de Fiebre Of The Southern Ulinoisan Although a severe shortage of physicians is perhaps the most dramatic indicator of health problems in Southern Illinois it is far from the complete story A health planninggroup which recently reported that the areahas only abouthalf as many physicians as the national average has also found that Southern Illinois counties Jackson William son Franklin Perry and Un ion have less than half the national average for regis tered nurses five counties have only about 70 per cent of the national average for pharma cists counties have only about 80 per cent of the na tional average for dentists However the study also re ports the area has nearly half again as many licensed prac tical nurses as the national average The data comes from Com prehensive Health Planning in Southern Illinois a Carbon dalebased organization cover ing 27 counties in the region not including Randolph Coun of registered nurses Supply of pharmacists dentists also below the national average organization is ga thering the data for publica tion in a report due this sum mer on tiie areas health stat us That data coupled with that compiled on physicians all tells you the same story said James Marshall associ ate director of the organiza tion The story he said is that Southern Illinois is a health manpower scarcity area and the health professionals who chose to stay in the area do so for other than professional reasons The doctors cant do any thing at all without the Marshall said The RN cant do much without the LPN And the doctor cant do much without either of them The area has only about 165 RNs per 100000 popula tion about 48 per cent of the national average of 345 RNs per 100000 persons The data excludes about 100 RNs working at Anna State Hospi tal the Veterans Administra tion Hospital in Marion and the student health service of Southern Illinois University at Carbondale Jackson County with 118 has the largest number of reg istered nurses while Perry County has the smallest total witti 30 None of the five counties come near the national ratio of nurses topopulation Union County conies closest with 236 RNs per 100000 population Ratios per 100000 popula tion for other counties are Jackson 215 Perry 152 Franklin 144 and Williamson 110 Marshall noted a nationwide shortage of registered nurses But because Southern Illinois facilities generally can not compete with salary levels and working conditions found in metropolitan areas the problem may be more severe in this region be said However me data shows a ratio of about 245 LPNs in the five counties per 100 000 persons well above the approximate national average of about 175 LPNs per 100 000 population Licensed practical nurses do not receive as much training or have as much responsibil ity as RNs and they gen erally work under direc tion of a physician or an RN Williamson County with 132 LPNs has more than any of the other four counties Only two counties are below the national average The five counties come f air ly close to the national aver age for dentists the data shows Southern Illinois has about 38 dentists per 100000 population while the national average is 47 per 100000 There are 68 dentists in the area the figures show with about 65 per cent of hem in Jackson and Williamson counties the two most popul ous counties Only Jack son County exceeds the nation al average The breakdown on dentists is Jackson 27 or 49 per 100000 persons Williamson 17 or 35 per 100000 Franklin 10 or 26 per 100000 Union 7 or 44 per 100000 and Perry 7 or 36 per 100000 However those relatively bright figures may be deceiv ing Marshall said Based on informal interviews with area dentists Marshall has c o n cluded that the number of den tists who have closed prac tices practices where no new patients are may be quite substantial That he said is probably due to the higher average age of Southern Illinois dentists Southern Illinois has 74 pharmacists according to the data or about 42 per 100000 population The national av erage is 59 pharmacists per 100000 persons None of the counties meet the national average but Jackson County comes closest with 51 per 100000 Jackson and Williamson counties have about twothirds of the areas pharmacists Worst off in the pharmacist count are Union County with only 25 per 100000 population and Franklin County with 31 per 100000 Nixon vows NATO help Herrin Hospital closes rooms Ketter associate week because of a shortage Hie section which is not in use The rooms are behind pital took 14 beds out of use Mrs Ketter a registered about two weeks ago Hall nurse1 Story on page3 way lights are turned off in Photo by Ed Creer Shirley director of nurses at Herrin of registered nurses The hos Hospital examines a medical chart near a section of the hospital that was closed last Conference in Carbondale Whaf can doctor do about noncomplying patients By Henry De Fiebre Of The Southern Illinoisan An obese patient with dia betes is told by his doctor to lose weight A year later the patient has gained 10 pounds What can the doctor do According to Washington physician Dr Jack Rheingold he should that the patient may fear his disease and thus deny it The doctor should ask why the patient is not following his prescribed regi men directions and put htem in nontechnical 1 a n guage gradually Dr Rheingold spoke this morning on the final day of a twoday conference in Car bondale on patient education The conference one of the first in the country drew about 200 health professionals from more than 20 states The conference held at Southern Illinois University at Carbondale explored the emerging field of patient heal th education Such education is aimed at better informing individuals of their health sta tus thusallowing them to bet ter care for themselves Dr Rheingold clinical pro fessor of medicine at the George Washington Uni versity School of Medicine and senior attending staff physi cian at Washington Hospital Center in Washington spoke on patient compliance He defined patient com pliance as having the patient follow what the p h y s i c i an think is the best program for him Such a goal Dr Rheingold said may appear simple But he said one study of hyper tension patients in s e v e r a 1 large cities found that about half of them dropped out of their therapy programs At the other less drastic end of the spectrum the non compliant patient may be di rected to take four pills a day but take only two he said The noncompliant patient Dr Rheingold noted is often hostile and aggressive aggra vated unhappy tends to con sider his illness not very ser ious doesnt have much faith in modern medicine and doesnt appear threatened by his illness However he said those characteristics are often due to fear or selfdenial or the disease They take it out in terms of hostility v Washington AP The House Judiciary Com mittee has voted to make public most of the evidence it has received in secret impeachment Just when the mass of material will be released re mains unclear but some members say all evidence rpsMna to the Watergate cover up including the committees versions of White House tapes could be made public in a few days Chairman Peter W Rodino Jr DNJ who will have the right to edit the material before It is released said Tuesday he Such a patient beset with his own personal problems and fearful of the trappings of the doctors office is not very receptive to com ply Dr Rheingold said Rather than reacting to such a patient in anger and writing him off he said the doctor should explore the reasons for the noncompliance If the doctor will inquire into the cause of the patients behavior he may get some surprising answers that will be remendpusly helpful Dr Rheingold said Additionally he said if the patient is to follow directions he must first understand them The doctor should speak the patients language and repeat directions not because the patient is stupid but be cause the doctor is working in the field and knows it but the patient doesnt know it Dr Rheingold said Once the patient under stands directions he added he still must be motivated to follow them There is little problem Dr Rheingold said in convincing a patient to take one pill a day for high blood pressure But he said there is noth ing as frustrating to the phy sician as the patient who must change his life style Where motivation is in volved Dr Rheingold said it must be done gradually or else youre going to strike out c Washington StarNews Brussels President Nixon today assured the North Atlantic Treaty Organization that the United States is determined to maintain and improve troop strength in Western Europe so long as the Soviet Union and its allies do not reduce theirs Briefing the 14 NATO partners hi a brief stopover here before going on to Moscow for his third summit with Soviet leaders Nixon also affirmed that the western alliance provided the underpinning for any American agreements with the Soviet Union Then shortly after midday th President joined the other NATO member1 nations in sign in the new Declaration of Principles drafted and agreed to in Ottawa a week ago By so doing Nixon formally endorsed the outcome of Secretary of State Henry A Kissingers yearlong effort toi win a oncereluctant Europe over to his concept of a new Atlantic Charter A reduction of forces in Europe Nixon told the NATO ministers would have dangerous repercussions for the alliance going weE beyond toe numbers of troops withdrawn or the dollars saved This was a pointed reference to he mood in Congress to reduce US force levels unilaterally In Hie morning session the general aura of selfcongratula tion within the alliance over its success in compromising earlier differenceswas counterpointed by a growing concern over the deteriorating economic strength of Western Europe According to Europe an reports the strongest expression of this concern was made by West German Chancellor Helmut Schmidt representing Whopping pay hike gets House approval western Europes healthiest economy Schmidt laid special stress on danger to the alliance of the intensifying worldwide infla tion since the October Middle East war and the winter fuel crisis Mainly however the em phasis was on bolstering NATO as a going concern on the eve of the next US Soviet summit Referring specifically to the negotiations with the Soviet Union on European force reduction and related issues Nixon renewed toe administra tion pledge never to sacrifice the interest of the allies to achieve agreements as White House Press Secretary Ronald Ziegler paraphrased it On the issue of consultation within the alliance the issue that nearly split NATO during the winter Nixon today em phasized the formula devised by SUNNY Springfield AP Whopping salary hikes for top government officials have been approved by the Illinois House and sent to the Senate Under the measure many of Gov Daniel Walkers chief ad ministrators would get almost immediate raises ranging from a year to Salaries of four top officials wouli jump to more than the governor himself is paid The House also sent to the Senate Tuesday a measure in creasing the minimum wage from to an hour Bills to raise state legislators pay by a year and state judges salaries by to a year moved smoothly along in the Senate They could be passed and sent to the governor today or Thursday Those already been approved by the House With time remaining in the spring session rapidly evaporating both House and Senate met through the night and into the early morning hours The General Assembly is scheduled to end its session June 30 but Senate President William C Harris RPontiac has sug gested that the Senate at least adjourn as early as Thurs day In other action Tuesday A measure giving public school teachers the legal right to strike was approved by the House and sent to the Senate But the Senate killed a similar measure approved last year by the House thus dimming hopes of passage into law Four county fairs would get state grants to fix buildings recently damaged by rain tornadoes or fire under legisla tion which has cleared the Il linois House The House voted 1600 Tues day to send the Senate a million budget for operation of the state Department of Agriculture in fiscal 1975 Tacked onto the fiscal 1975 Agriculture Department budget the money would go to repair facilities at the Coles Macon Cumberland and Jefferson County fairgrounds and the In ternational Livestock Exposition in Chicago Legislation which sponsors say will lead to a Western II linois University educational television station Kissinger m Ottawa lastl week The duty of consultation set forth in the new declaration the1 President said is not a legally binding obligation Rather as Ziegler paraphrased it it sym bolizes a spirit of cooperation within the alliance which the United States hopes will grow into a recognition that no member of the alliance should take action affecting the alliance without seeking the support and understanding of the other members This unwritten obligation Nixon affirmed extends beyond the NATO boundaries of Western Europe to other areas such as the Middle East in which the whole alliance has an interest Nixon did not mention it but administration officials later reasserted a key proviso which Kissinger was careful to stress For prisoners in Ottawa This is the exception that in emergency situa tions such as 1 a s t Octobers worldwide military alert full consultation within the alliance would be unpractical and therefore would be waived The signing ceremony lasted about 15 minutes as the representatives of the alliance fixed their signatures in rapid succession to the document The Dutch secretarygeneral of NATO Joseph MAH Luns made a brief speech in French and English and then the meeting adjourned for picture taking A conspicuous absentee was French President V a 1 e r y Giscard dEstaing He sent Premier Jacques Chirac and it was fee first appearance of a French premier at NATO head quarters since President Charles de Gaulle expelled the alliances military headquarters from Francer Fair and cool again tonight with low in the mid 50s Thursday mostly sunny with high in lower 80s Friday through Sunday chance of showers and warmer INDEX Classified 2528 Comics TV Bridge Crossword 31 Editorials 4 Family living 67 Records 2829 Sports 911 Weather details map 29 Egypt vows to defend Lebanon By the Associated Piess Egypt is prepared tosend its air force to defend Lebanon against Israeli raids even al the risk of another Middle East war Egyptian President Anwar Sadat was quoted today as saying Israeli artillery shelled the Lebanese village of Jouaya 12 miles from the IsraeliLebanese border Tuesday night Discipline without lawyers court says Washington AP The Supreme Court ruled 6 to 3 today that prisoners undergo ing disciplinary proceedings do not have the right to be represented by lawyers The court overturned a federal circuit court ruling that had ex tended the right to counsel to prisoners in the Nebraska penal complex However the Supreme Court upheld the lower courts finding that the inmates are entitled to certain other guarantees of due process of law in the disciplinary proceedings Justice Byron R White speaking for the court said prisoners must be given at least 24 hours advance written notice of scheduled appearances before the disciplinary body He said the notice must in clude a written statement of the evidence The inmate should be allowed to call witnesses and present evidence in his defense if this will not jeopardize the safety or goals of the institution White wrote But he said the inmate has no constitutional right to crossex amine the witnesses against him and no right to counsel The insertion of counsel into the disciplinary process would inevitably give the proceedings a more adversary cast and tend to reduce their utility as a means to further correctional goals the court majority said Justice Thurgood Marshall dissenting said a disciplinary hearing held under these condi tions would amount to little more than a swearing con test Fred A Frey assistant war den at the Marion Federal Pen itentiary said the Supreme Court rules in the case have been in operation at Marion since an April 29 ruling by Judge James Foreman in a case in federal court involving a Marion inmate Foreman ruled in that case identically with the Supreme Court ruling In another aspect of the case the Supreme Court held that prison authorities may open inmates mail in their presence in order to protect against the smuggling of contraband into the prison hoped the more than 7000 pages available for public scrutiny fiyv the time the committee starts debating proposed articles of impeachment now scheduled for This is information on which one can make an evaluation said RodinOi It should come to the attention of the public Ronald L Ziegler President Nixons press secretary said in Brussels today that Nixon the committees decision The 2216 vote to release the evidence came on a motionby Rep Wayne Owens DUtab fee cream fman tatatif feeqfen Onlookers loot van as vendor Js dying Los Angeles AP Five persons including three juveniles were in custody today following the fatal beating of an ice cream vendor whose makeshift catering van was looted by onlookers while he lay dying auffiorities said Officers said all five were ar rested Tuesday in their homes in a housing project in south Los Angeles Charges were expected to be filed today An autopsy disclosed Victorino A Parades 55 of suburban South Gate died of a blow to the head Initially officers felt Parades might have died of a heart attack brought on by the beating He was just punched He not stabbed or shot said Police Lt Robert McVey Parades a native of Guatemala was beaten by five persons who assaulted him Monday evening shortly after he droye his refrigerated cater ing van into the Jordan Downs housing project in southcentral Los Angeles near Watts Officers said Parades fell back unconscious in the drivers seat and the five then stole that was in the cash box and some candy and ice cream When the five left police said more than 20 onlookers clambered on to the truck and cleaned it out Parades son Roberto 24 said he had often warned his father about the danger of going into neighborhoods such as the one where he was assaulted But he was the boss and he did not believe me said the son
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