يعرض 1 - 10 نتائج من 36 نتيجة بحث عن '"Katz, Jeffrey N."', وقت الاستعلام: 0.62s تنقيح النتائج
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    دورية أكاديمية
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    دورية أكاديمية

    المساهمون: Arthritis Foundation, National Institute of Arthritis and Musculoskeletal and Skin Diseases, Office of Disease Prevention, Office of Behavioral and Social Sciences Research, Wake Forest University, University of Missouri, Centers for Disease Control and Prevention, National Center for Complementary and Integrative Health, Office of Research on Women's Health, University of Missouri School of Medicine

    المصدر: Osteoarthritis and Cartilage Open ; volume 6, issue 1, page 100418 ; ISSN 2665-9131

    مصطلحات موضوعية: General Medicine

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    دورية أكاديمية
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    دورية أكاديمية
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    دورية أكاديمية
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    دورية أكاديمية
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    دورية أكاديمية

    المصدر: BMC Women's Health ; volume 21, issue 1 ; ISSN 1472-6874

    الوصف: Background Early research suggests the COVID-19 pandemic worsened intimate partner violence (IPV) in the US. In particular, stay-at-home orders and social distancing kept survivors in close proximity to their abusers and restricted access to resources and care. We aimed to understand and characterize the impact of the pandemic on delivery of IPV care in Boston. Methods We conducted individual interviews with providers of IPV care and support in the Greater Boston area, including healthcare workers, social workers, lawyers, advocates, and housing specialists, who continued to work during the COVID-19 pandemic. Using thematic analysis, we identified themes describing the challenges and opportunites providers faced in caring for survivors during the pandemic. Results Analysis of 18 interviews yielded four thematic domains, encompassing 18 themes and nine sub-themes. Thematic analysis revealed that the pandemic posed an increased threat to survivors of IPV by exacerbating external stressors and leading to heightened violence. On a system level, the pandemic led to widespread uncertainty, strained resources, amplified inequities, and loss of community. On an individual level, COVID-19 restrictions limited survivors’ abilities to access resources and to be safe, and amplified pre-existing inequities, such as limited technology access. Those who did not speak English or were immigrants experienced even more difficulty accessing resources due to language and/or cultural barriers. To address these challenges, providers utilized video and telephone interactions, and stressed the importance of creativity and cooperation across different sectors of care. Conclusions While virtual care was essential in allowing providers to care for survivors, and also allowed for increased flexibility, it was not a panacea. Many survivors faced additional obstacles to care, such as language barriers, unequal access to technology, lack of childcare, and economic insecurity. Providers addressed these barriers by tailoring services ...

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    دورية أكاديمية

    المساهمون: National Institute for Occupational Safety and Health

    المصدر: BMJ Open ; volume 11, issue 6, page e045656 ; ISSN 2044-6055 2044-6055

    مصطلحات موضوعية: General Medicine

    الوصف: Objectives To validate and test the dimensionality of six constructs from the Workplace Integrated Safety and Health (WISH) assessment, an instrument that assesses the extent to which organisations implement integrated systems approaches for protecting and promoting worker health, safety and well-being, in a sample of nursing homes in the USA. Design Validation of an assessment scale using data from a cross-sectional survey. Setting Nursing homes certified by the Centers for Medicaid and Medicare services in three states of the USA: Ohio, California and Massachusetts. Participants 569 directors of nursing from nursing homes serving adults and with more than 30 beds participated in the study. Results Graded response Item Response Theory (IRT) models showed that five out of six constructs were unidimensional based on balanced interpretation of model fit statistics—M2 or C2 with p value >0.05, Comparative Fit Index >0.95, lower bound of the root mean squared error of approximation 90% CI <0.06 and standardised root mean square residual <0.08. Overall measure and construct reliability ranged from acceptable to good. Category boundary location parameters indicated that items were most informative for respondents in lower range of latent scores (ie, β 1 , β 2 , β 3 typically below 0). A few items were recommended to be dropped from future administrations of the instrument based on empirical and substantive interpretation. Conclusions The WISH instrument has utility to understand to what extent organisations integrate protection and promotion of worker health, safety and well-being; however, it is most informative in organisations that present lower scores.

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    دورية أكاديمية

    المساهمون: Harvard Medical School’s Scholars in Medicine Office

    المصدر: BMC Medical Education ; volume 20, issue 1 ; ISSN 1472-6920

    مصطلحات موضوعية: Education, General Medicine

    الوصف: Background Despite the growing number of patients with limited English proficiency in the United States, not all medical schools offer medical language courses to train future physicians in practicing language-concordant care. Little is known about the long-term use of non-English languages among physicians who took language courses in medical school. We conducted a cross-sectional study to characterize the professional language use of Harvard Medical School (HMS) alumni who took a medical language course at HMS and identify opportunities to improve the HMS Medical Language Program. Methods Between October and November 2019, we sent an electronic survey to 803 HMS alumni who took a medical language course at HMS between 1991 and 2019 and collected responses. The survey had questions about the language courses and language use in the professional setting. We analyzed the data using descriptive statistics and McNemar’s test for comparing proportions with paired data. The study was determined not to constitute human subjects research. Results The response rate was 26% (206/803). More than half of respondents ( n = 118, 57%) cited their desire to use the language in their future careers as the motivation for taking the language courses. Twenty-eight (14%) respondents indicated a change from not proficient before taking the course to proficient at the time of survey whereas only one (0.5%) respondent changed from proficient to not proficient (McNemar’s p -value < 0.0001). Respondents ( n = 113, 56%) reported that clinical electives abroad influenced their cultural understanding of the local in-country population and their language proficiency. Only 13% ( n = 27) of respondents have worked in a setting that required formal assessments of non-English language proficiency. Conclusions HMS alumni of the Medical Language Program reported improved language proficiency after the medical language courses’ conclusion, suggesting that the courses may catalyze long-term language learning. We found that a majority of ...

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    دورية أكاديمية