“It’ll Be OK”: The Effects of Supportive Talk on Patient Perceptions of Physicians in Racially Discordant Medical Interactions

Background: In recent years there has been hopeful interest in using a patient-centered communication style to optimize medical visits. Patient-centered communication is associated with patients’ positive views of their physicians. As a result, having patient-centered communication can influence the degree of patient adherence, which in turn can affect health outcomes. One of several styles that characterize patient-centered communication is for physicians to engage in supportive talk that legitimizes the patient’s perspective and concerns. Objectives: The main goal of the study was to explore whether supportive talk is associated with patients’ positive views of their physician (i.e., warmth) and the interaction (i.e., patient-centered care, “being on the same team”) in racially discordant medical interactions between Black patients and non-Black physicians. Methods: 133 transcripts of patient-physician interactions from an existing longitudinal study of Black patients who interacted with non-Black physicians at a primary care clinic were coded for supportive talk (reassurance, encouragement, comfort) in the current study. Results: Supportive talk was significantly and positively associated with perceived physician warmth, patient-centered care, and teamness, such that Black patients whose non-Black physicians engaged in more supportive talk reported greater perceived warmth, patient-centered care, and teamness, as compared to patients whose physicians engaged in less supportive talk. Conclusion: The findings from the current study suggest that physicians may be able to improve patients’ perceptions of them even in racially discordant medical interactions (which is often characterized as less positive than the racially concordant ones) by reassuring, encouraging, and comforting the patients. Thus, the findings further support the importance of training medical students on incorporating patient-centered communication in their practice.https://scholarscompass.vcu.edu/uresposters/1019/thumbnail.jp

Persons mentioned in five modern European history textbooks

Thesis (M.A.)--Boston University, 1948. This item was digitized by the Internet Archive

The Three-Point Gap As A Means Of Control In Instantaneous Photography

In 1926, Wynn Williams investigated the theory of the three-point gap, which phenomenon had been known and utilized for some time but until his investigation was not understood theoretically. This investigation has been divided into two distinct parts: First, when the energy was generated by a large Toepler-Holtz station machine; and second when the energy was generated by a one-kilowatt, 25,000 volt transformer

Walter Macken: Life in literature

Walter Macken: Life in Literature introduces Walter Macken, a Galwegian novelist, playwright, short-story writer, and children\u27s novelist, to an American audience in order to make his works better known. The themes in Macken\u27s novels show common elements among Irish authors. The use of the common man and the use of Ireland\u27s history are most prevalent in Irish literature. However, Macken\u27s use of autobiographical elements in the midst of his presentation of life in the West of Ireland, in many ways, sets him apart from the other Irish authors. Few have chronicled the lives of the farmers and the fishermen in the West. And even fewer could have done this in the manner Macken did because he was one of them; Walter Macken needs to be reconsidered within the pantheon of Irish authors

Interview with Gladys Denio

An interview with Gladys Denio regarding her experiences in a one-room school house.https://scholars.fhsu.edu/ors/1056/thumbnail.jp

Analisis Pengaruh Kualitas Produk, Kualitas Pelayanan dan Brand Image terhadap Kepuasan dan Loyalitas Pelanggan pada Coffee Shop Janji Jiwa di Kota Yogyakarta

Penelitian ini bertujuan untuk menguji apakah terdapat pengaruh kualitas produk, kualitas pelayanan, brand image terhadap kepuasan dan loyalitas konsumen. Penelitian secara empiris dilakukan dengan survey lapangan. Pengambilan sampel dilakukan dengan metode non probability sampling dengan mereka yang secara terpilih (self selection) dan secara sukarela (volunteer) bersedia sebagai sampel. Jumlah sampel sebanyak 307 responden. Pengumpulan data dengan menggunakan kuesioner yang disebarkan secara langsung kepada responden sasaran melalui media tatap muka langsung dan melalui google form. Data dianalisis dengan menggunakan alat analisis statistik Structural Equation Modeling (SEM) Versi AMOS. Hasil penelitian dapat menemukan bahwa ada pengaruh positif dan signifikan kualitas produk dan kepuasan pelanggan. Pengaruh positif dan signifikan terhadap kualitas layanan dan kepuasan pelanggan. Brand image dan kepuasan pelanggan mempunyai pengaruh negatif. Kualitas produk dan loyalitas pelanggan memiliki pengaruh negatif. Kualitas pelayanan dan loyalitas pelanggan memiliki pengaruh positif. Brand image dan loyalitas pelanggan memiliki pengaruh negatif dan kepuasan pelanggan dengan loyalitas memiliki pengaruh positif dan signifikan

Metodologia para caracterização quimico-morfologico dos carvões brasileiros de alto teor de minerios

Orientadores: Wolfgang May, Carlos Alberto LuengoDissertação (mestrado) - Universidade Estadual de Campinas, Instituto de Fisica Gleb WataghinResumo: É proposta uma metodologia para a caracterização químico-morfológica de carvões de alto teor de minérios do RS, concebida em função das experiências de hidrogenação direta em desenvolvimento na UNICAMP. Neste sentido desenvolveram-se técnicas de análise morfológica para inspeção da distribuição dos macerais e minerais, através da utilização de microscopia ótica, em amostras planas e polidas de carvão mineral. Desta forma identificaram-se as principais inclusões minerais e a distribuição volumétrica media dos principais macerais. A análise química foi realizada com auxilio de uma Microssonda Eletrônica e uma Microssonda Iônica. Com a Microssonda Eletrônica, através de "caminhamen-tos" contínuos e contagem constante de uma dupla de elementos, foi possível estabelecer um procedimento padrão para obter-se a distribuição espacial e as concentrações relativas dos elementos que compõem os minérios mais comuns presentes nos carvões estudados. Em particular, foram obtidos os perfis de distribuição espacial para o ferro, enxofre e silício, bem como suas concentrações relativas para as diferentes regiões dos carvões estudados. A análise do pó prensado dos carvões fornecem as concentrações relativas totais dos elementos mais comuns dos minérios dos carvões. Com a Microssonda Iônica foi possível determinar a presença de elementos de numero atômico muito pequeno (< 12) , bem como os elementos-traços. Sem chegar-se a conclusões definitivas, avançou-se na discussão dos fatores que, direta ou indiretamente, podem influenciar na reatividade dos carvões no processo de hidrogenação. Discutiu-se principalmente em relação ã influência dos minerais, em particular dos compostos de ferroAbstract: Coal hydrotreating experiments being developed at UNICAMP have motivated the development of microchemical studies presented in this work. Brazilian coals from RS have the morphological structure characteristic of sub-bituminous coals but complicated by a very high mineral content. These investigations included the development of coal surfaces polishing techniques to obtain clear and distinct images of the maceral phases with optical microscopy. It was possible to identify the main mineral inclusions and volumetric distribution of macerals. Optically selected regions were the subject of detailed linear scanning with an electron microprobe turned for several elements. It was then allowed the determination of the local concentrations of mineral materials. Specifically, it was possible to determine the spacial distribution of iron, sulfur and silican which can be associated with iron oxides, pyrites, kaolin and silica. Furthermore, their relative concentrations profiles were determined for the various macerals. An iron microprobe was used to detect the presence of elements of small atomic number (n < 12) , and also the trace elements. From this study, it is possible to conclude that minerals on coals from RS are intimately mixed with the organic matter and that the degree of dispersion is very high for iron oxides. This may, of course, be an important contribution for the understanding of the anomalously high reactivities observed in the hydrogenation experimentsMestradoFísicaMestre em Físic