370 research outputs found

    Providing Underserved Patients With Medical Homes: Assessing the Readiness of Safety-Net Health Centers

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    Surveys safety-net health centers' potential to become patient-centered medical homes based on eight change concepts to improve care delivery, efficiency, and health outcomes. Outlines challenges, areas for improvement, and strategies for transformation

    Rendering the Multiplicities of Self in an A

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    A Bayesian Analysis of the Impact of Hereditary Attributes on the Diagnosis of ALS Patients

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    The purpose of this study is to determine the relationship between hereditary attributes of patients that have been diagnosed with ALS and the change in their respective ALSFRS and/or ALSFRS-R scores over the length of a clinical trial in which they participated. These scores assess the patient\u27s ability to perform everyday tasks, as well as describe the capability to breathe and eat. Data for each of the 8,600 patients was collected by a group called PRO-ACT, and was de-identified prior to access. Bayesian methods are used to estimate the mean of the posterior distributions of parameters in a simple linear model. Gibbs sampling is used to estimate posterior distributions of regression parameters in order to determine which covariates may afftect the progression of ALS as measured by change in ALSFRS(-R) score

    Guiding Transformation: How Medical Practices Can Become Patient-Centered Medical Homes

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    Describes in detail eight change concepts as a guide to transforming a practice into a patient-centered medical home, including engaged leadership, quality improvement strategy, continuous and team-based healing relationships, and enhanced access

    'Kindness and empathy beyond all else' : Challenges to professional identities of Higher Education teachers during COVID-19 times

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    COVID-19 has continued to effect higher education globally in significant ways. During 2020, many institutions shifted learning online overnight as the sector closed its doors and opened new sites for remote teaching. This article reports on an international study [Phillips et al., 2021] that sought to capture how cross-sectoral teachers experienced these emergency changes during the first months of restrictions. The data, analysed using narrative identity theory, revealed concerns that fall into two broad categories: technologies and relationships. Significantly, it was not a loss of content delivery or changes to assessment that prompted the greatest anxiety for our colleagues, but that they held significant concerns about their students’ mental health; inequities of access to a range of services including technological; and challenges connecting emotionally with their students at a distance. The results provide actionable strategies for higher education institutions to apply in future emergencies where remote teaching is necessary

    STORIES FOUND WITHIN THE LEARNINGS OF TEACHING IN COVID-19

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    COVID-19 has disrupted the educational landscape around the world, putting new pressures on schools, colleges and universities, and more specifically on teaching, learning and assessment. Educators feel fragmented, as their identities as well as their roles pivoted when the pandemic directed them home to teach. This paper explores a global story-based educational research project that sought to capture the pressures, stress and self-efficacy of educators across the world. Our digital ethnographic study sought to explore what educators were experiencing; to archive the worries, hopes, concerns and issues encountered by teachers in new spaces and sites as remote emergency practice began. What has emerged from the 635-educator participant study that includes 105 respondents in the higher education/tertiary sector that we have chosen to focus on here, is an attentiveness to the place of learning and teaching. More importantly, the relations between people and place, and the teachers and their students. This paper explores four stories from the higher education data that have been re-storied as an opening to this pandemic and the effects of the pivot on teaching practice to indicate the times and provide voice to our participants

    Reciprocity | Relationality: Artful Connections between Child and Adult Artists

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    LIHEAP Stabilizes Family Housing and Protects Children's Health

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    The heating and cooling season presents special challenges for our nation's low-income families. With limited resources, many are challenged to manage the seasonal spike in utility expenses, facing decisions about whether to pay the rent, keep the lights and heat on, or buy enough groceries to get through the end of the month. We know that each of these decisions will have significant implications for the health of their youngest children. Unfortunately, these tough choices are all too common this winter as the nation experiences increases in energy prices, unusually cold weather, and continued high unemployment

    Boost to SNAP Benefits Protected Young Children's Health

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    The Great Recession has taken a significant toll on America's children. In 2010, 25 percent of children under age six were living in poverty, up from 21 percent in 2007
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