Southeastern Pennsylvania (SEPA) Regional Enhancements Addressing Disconnects (READS) in Cardiovascular Health Communication

The objective of SEPA- READS is to enhance the capacity of health care systems and professionals to address health literacy needs of adults’ (aged 50+) to improve cardiovascular health outcomes by 1) identifying, implementing and evaluating educational/systems changes designed to improve written materials, navigation and provider communication skills, and 2) enhancing the ability of older adults to communicate effectively with healthcare providers. This is accomplished by: 1) creating a broad-based Cardiovascular Health Literacy Coalition (CHLC) 2) improving the ability of adults to communicate effectively with healthcare providers/staff at multiple points of care. The CHLC consists of a Coalition Steering Committee that provides overall guidance to the project and is composed of project leadership and representatives from two Advisory Working Groups. These Working Groups include: 1) a Professional Advisory Group (PAG) with representation from at least 10 hospitals and/or health systems, local literacy initiatives, and cultural groups dealing with non-English speakers such as the Nationalities Service Center and Southeast Asian Mutual Assistant Association’s Coalition, and 2) a Community Advisory Group (CAG) to ensure cultural and health literacy relevance for older adults. The CHLC utilizes a multi-pronged approach that includes: 1) assessing the quality and content of communication across multiple points of care; 2) integrating literacy improvement techniques and strategies, such as Teach Back, use of Plain Language, Creating a Shame Free Environment, into staff development programs 3) activating patients through training on Ask Me 3. Ultimately the impact of SEPA-READS includes: 1) Institutionalization of effective communication strategies into the culture of patient quality and safety protocols; 2) Creation of a centralized repository for culturally and linguistically forms and educational materials; 3) Improved cardiovascular health outcomes in adults aged 50+; 4) Reduced CVD related readmissions; 5) Reduced CVD medical errors; and 6) Improved CVD patient self-care behaviors. Learning Objectives: Participants attending this session will be able to: 1. Organize an approach to recruiting multiple hospital/health systems into a literacy initiative 2. Apply a methodology of engaging hospitals, community organizations and older adults to address health literacy 3. Identify the challenges in addressing cardiovascular health literacy at multiple level

GRADE Evidence to Decision (EtD) frameworks : A systematic and transparent approach to making well-informed healthcare choices. 1. Introduction

Funding: Work on this article has been partially funded by the European Commission FP7 Program (grant agreement 258583) as part of the DECIDE project. Sole responsibility lies with the authors; the European Commission is not responsible for any use that may be made of the information contained therein.Peer reviewedPublisher PD

Ariel - Volume 8 Number 2

Executive Editor James W. Lockard , Jr. Issue Editor Doug Hiller Business Manager Neeraj K. Kanwal University News Richard J. Perry World News Doug Hiller Opinions Elizabeth A. McGuire Features Patrick P. Sokas Sports Desk Shahab S. Minassian Managing Editor Edward H. Jasper Managing Associate Brenda Peterson Photography Editor Robert D. Lehman, Jr. Graphics Christine M. Kuhnl

Long-term changes in extreme temperatures and precipitation in Spain

La creació de les bases de dades de temperatura i precipitació diàries anomenades, respectivament, Spanish Daily Adjusted Temperature Series (SDATS) i Spanish Daily Adjusted Precipitation Series (SDAPS), en el marc del projecte finançat per la Comissió Europea EMULATE (European and North Atlantic daily to MULtidecadal climATE variability), ha permès als autors analitzar el canvi a llarg termini que s'ha produït en el comportament anual dels extrems climàtics a l'Espanya peninsular durant el període 1901-2005. El conjunt de procediments desenvolupats pels autors per tal de crear registres homogenis de la temperatura i de la precipitació diàries són descrits de manera breu abans d'analitzar els canvis observats en l'ocurrència d'extrems climàtics. S'han utilitzat els indicadors se - güents per a dur a terme aquest estudi: excedències dels percentils inferiors i superiors de les temperatures màximes (Tmax) i mínimes (Tmin) diàries, excedències de la precipitació diària per sobre dels percentils 95è i 99è, l'índex simple d'intensitat diària (SDII) i els indicadors d'1 i 5 dies amb la precipitació més alta de l'any. Tant l'anàlisi dels percentils superiors de les temperatures com la dels inferiors mostren que s'ha produït un escalfament important sobre l'Espanya peninsular al llarg del segle XX, i que aquest ha estat més important en les temperatures màximes que en les temperatures mínimes. No obstant això, aquest patró presenta un lleuger canvi en el període més recent d'escalfament, en el qual la tendència d'ambdues variables presenta valors similars. Els canvis en els indicadors pluviomètrics no són tan clars com els estimats per la temperatura, però s'ha detectat una tendència cap a l'ocurrència de pluges més intenses.The development of the Spanish daily adjusted temperature series (SDATS) and the Spanish daily adjusted precipitation series (SDAPS) datasets in the framework of the European Community (EC)-funded project EMULATE (European and North Atlantic daily to MULtidecadal climATE variability) enabled the assessment of long-term annual changes of extreme temperature and precipitation indices over peninsular Spain for the period 1901–2005. Within this framework, a set of procedures was developed to generate long-term (1850–2005) daily adjusted temperature and precipitation series and to use them to assess changes in climatic extremes. The present report describes details of the data employed to analyze the behavior of Spanish climate extremes and discusses the results of investigations into the annual changes in selected indices that occurred during the 20th century: exceedances of upper and lower percentiles of daily maximum (Tmax) and minimum (Tmin) temperatures, cold-spell duration index (CSDI), warm-spell duration index (WSDI), daily rainfall (R) exceeding the 95th and 99th percentiles, simple daily intensity index (SDII), and greatest 1- and 5-day total precipitation. Upper and lower temperature percentiles increased during the 20th century over mainland Spain, but changes in daytime extreme temperatures were larger than changes in night-time extreme temperatures. This pattern, however, shifted slightly in the recent period of strong warming, with more similar rates of change among daytime and night-time extreme temperatures. Changes in extreme precipitation indices were not as evident as those in extremetemperature indices, but there was a tendency towards heavier precipitation

The Common Scold (May 1983)

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The Common Scold (August 1983)

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The Common Scold (October 1983)

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The Common Scold, No.28 ([April 1983])

https://digitalcommons.usm.maine.edu/common_scold/1001/thumbnail.jp

The Common Scold (November 1983)

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