Medical Tourism: Travel to another country for the purpose of medical treatment.Barbados: An island in the Lesser Antilles in the West Indies. It is chiefly of coral formation with no good harbors and only small streams. It was probably discovered by the Portuguese in the sixteenth century. The name was given by 16th-century Spanish explorers from barbados, the plural for "bearded", with reference to the beard-like leaves or trails of moss on the trees that grew there in abundance. (From Webster's New Geographical Dictionary, 1988, p116 & Room, Brewer's Dictionary of Names, 1992, p49)Marketing of Health Services: Application of marketing principles and techniques to maximize the use of health care resources.Internationality: The quality or state of relating to or affecting two or more nations. (After Merriam-Webster Collegiate Dictionary, 10th ed)Travel: Aspects of health and disease related to travel.Patient Navigation: The process of helping patients to effectively and efficiently use the health care system when faced with one or more of these challenges: (1) choosing, understanding, and using health coverage or applying for assistance when uninsured; (2) choosing, using, and understanding different types of health providers and services; (3) making treatment decisions; and (4) managing care received by multiple providers.Economic Competition: The effort of two or more parties to secure the business of a third party by offering, usually under fair or equitable rules of business practice, the most favorable terms.Delivery of Health Care: The concept concerned with all aspects of providing and distributing health services to a patient population.Health Care Sector: Economic sector concerned with the provision, distribution, and consumption of health care services and related products.Accreditation: Certification as complying with a standard set by non-governmental organizations, applied for by institutions, programs, and facilities on a voluntary basis.Canada: The largest country in North America, comprising 10 provinces and three territories. Its capital is Ottawa.Health Facility Environment: Physical surroundings or conditions of a hospital or other health facility and influence of these factors on patients and staff.Laundry Service, Hospital: Hospital department which administers all activities pertaining to the hospital laundry service.Health Facilities: Institutions which provide medical or health-related services.Periodicals as Topic: A publication issued at stated, more or less regular, intervals.Anti-Bacterial Agents: Substances that reduce the growth or reproduction of BACTERIA.beta-Lactamases: Enzymes found in many bacteria which catalyze the hydrolysis of the amide bond in the beta-lactam ring. Well known antibiotics destroyed by these enzymes are penicillins and cephalosporins.Newspapers: Publications printed and distributed daily, weekly, or at some other regular and usually short interval, containing news, articles of opinion (as editorials and letters), features, advertising, and announcements of current interest. (Webster's 3d ed)New MexicoRotator Cuff: The musculotendinous sheath formed by the supraspinatus, infraspinatus, subscapularis, and teres minor muscles. These help stabilize the head of the HUMERUS in the glenoid fossa and allow for rotation of the SHOULDER JOINT about its longitudinal axis.Health Care Costs: The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies, and medications. It is differentiated from HEALTH EXPENDITURES, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.Tendon Injuries: Injuries to the fibrous cords of connective tissue which attach muscles to bones or other structures.United StatesShoulder Joint: The articulation between the head of the HUMERUS and the glenoid cavity of the SCAPULA.Shoulder Impingement Syndrome: Compression of the rotator cuff tendons and subacromial bursa between the humeral head and structures that make up the coracoacromial arch and the humeral tuberosities. This condition is associated with subacromial bursitis and rotator cuff (largely supraspinatus) and bicipital tendon inflammation, with or without degenerative changes in the tendon. Pain that is most severe when the arm is abducted in an arc between 40 and 120 degrees, sometimes associated with tears in the rotator cuff, is the chief symptom. (From Jablonski's Dictionary of Syndromes and Eponymic Diseases, 2d ed)Health Facility Administrators: Managerial personnel responsible for implementing policy and directing the activities of health care facilities such as nursing homes.Decision Making: The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea.Hydrogenase: An enzyme found in bacteria. It catalyzes the reduction of FERREDOXIN and other substances in the presence of molecular hydrogen and is involved in the electron transport of bacterial photosynthesis.Mythology: A body of stories, the origins of which may be unknown or forgotten, that serve to explain practices, beliefs, institutions or natural phenomena. Mythology includes legends and folk tales. It may refer to classical mythology or to a body of modern thought and modern life. (From Webster's 1st ed)PhilippinesSikkimSex Reassignment Procedures: Clinical treatments used to change the physiological sexual characteristics of an individual.Sex Reassignment Surgery: Surgical treatments used to change the physiological sexual characteristics of an individual.Bariatric Surgery: Surgical procedures aimed at affecting metabolism and producing major WEIGHT REDUCTION in patients with MORBID OBESITY.Transsexualism: Severe gender dysphoria, coupled with a persistent desire for the physical characteristics and social roles that connote the opposite biological sex. (APA, DSM-IV, 1994)MexicoInfluenza A Virus, H7N3 Subtype: A subtype of INFLUENZA A VIRUS comprised of the surface proteins hemagglutinin 7 and neuraminidase 3. It was first detected in turkeys in Britain in 1963 and there have been several outbreaks on poultry farms since that time. A couple cases of human infections have been reported.IndiaInformation Seeking Behavior: How information is gathered in personal, academic or work environments and the resources used.Informed Consent: Voluntary authorization, by a patient or research subject, with full comprehension of the risks involved, for diagnostic or investigative procedures, and for medical and surgical treatment.Expert Systems: Computer programs based on knowledge developed from consultation with experts on a problem, and the processing and/or formalizing of this knowledge using these programs in such a manner that the problems may be solved.Expert Testimony: Presentation of pertinent data by one with special skill or knowledge representing mastery of a particular subject.Duty to Warn: A health professional's obligation to breach patient CONFIDENTIALITY to warn third parties of the danger of their being assaulted or of contracting a serious infection.Bulimia: Eating an excess amount of food in a short period of time, as seen in the disorder of BULIMIA NERVOSA. It is caused by an abnormal craving for food, or insatiable hunger also known as "ox hunger".Diagnosis, Computer-Assisted: Application of computer programs designed to assist the physician in solving a diagnostic problem.Costa RicaJournal Impact Factor: A quantitative measure of the frequency on average with which articles in a journal have been cited in a given period of time.Alberta: A province of western Canada, lying between the provinces of British Columbia and Saskatchewan. Its capital is Edmonton. It was named in honor of Princess Louise Caroline Alberta, the fourth daughter of Queen Victoria. (From Webster's New Geographical Dictionary, 1988, p26 & Room, Brewer's Dictionary of Names, 1992, p12)Bathing Beaches: Beaches, both natural and man-made, used for bathing and other activities.Root Canal Preparation: Preparatory activities in ROOT CANAL THERAPY by partial or complete extirpation of diseased pulp, cleaning and sterilization of the empty canal, enlarging and shaping the canal to receive the sealing material. The cavity may be prepared by mechanical, sonic, chemical, or other means. (From Dorland, 28th ed, p1700)Cost Savings: Reductions in all or any portion of the costs of providing goods or services. Savings may be incurred by the provider or the consumer.