Wait time reality check: The convergence of process, perception, and expectation

There are few experiences as ubiquitous to patients as the experience of waiting. It is an occurrence that transcends diagnosis, is common to all demographics, and is shared across the continuum of care. The experience can be frustrating and full of ambiguity for patients and their families. Wait time and delays can lead to patients sensing a loss of control and magnify the feelings of anxiety they may already be suffering. In an effort to improve patient experience, a framework was developed to examine patient satisfaction as a function of expectations, perceptions, and reality. The process domain focused on the objective reality of the pre-surgical lead times; while the expectation and perception domains focused on the family understanding of the timeliness of the pre-surgical process prior to, and directly following the experience. Guided by this framework, data was collected and analyzed at surgical units throughout the Texas Children’s Hospital system. Insights gained from this analysis identified distinct needs where focused improvement approaches could be implemented. Throughout this paper, we will provide insight into the framework developed, case studies illustrating its effectiveness and insights as to how it can be applied at any healthcare organization to improve patient satisfaction

Exile: a memoir of 1939

(print) xxi, 132 p. : ill. ; 23 cmList of Illustrations vi -- Foreword by Erika Bourguignon vii -- Foreword by Barbara Hill Rigney xiii -- Acknowledgments xx -- 'THE OTHER SIDE OF THE FENCE' 1 -- Some Thoughts on Context and Meaning ; or, How to Read an Old Memoir : A Commentary by Erika Bourguignon 10

Student Learning Objectives: What Instructors Emphasize in Short-Term Study Abroad

Given that higher education institutions are increasingly utilizing short-term study abroad courses as a means to develop students’ intercultural competency, it is important to determine if and how the instructors leading these programs are incorporating intercultural learning into their courses. By examining learning objectives embedded within syllabi from short-term study abroad courses, the purpose of this study was to identify the relative extent to which instructors emphasize disciplinary and intercultural learning in teaching short-term study abroad courses, and to examine the types of intercultural learning that instructors are explicitly including in their courses. Findings point to a wide diversity of emphasis on disciplinary content and intercultural learning, with slightly more courses emphasizing disciplinary content than intercultural learning. Of those learning objectives that focus on intercultural learning, the vast majority focused on intercultural knowledge rather than skills or attitudes

Developing Hyperpolarized 13C Spectroscopy and Imaging for Metabolic Studies in the Isolated Perfused Rat Heart

Hyperpolarized 13C magnetic resonance is a powerful tool for the study of cardiac metabolism. In this work, we have implemented protocols for the real-time hyperpolarized 13C investigation of Langendorff-perfused rat hearts using both non-selective non-localized spectroscopy and fast spectroscopic imaging. Following [1-13C] pyruvate infusion, we observed both catabolic and anaplerotic metabolic processes resulting in a number of metabolites, including bicarbonate, carbon dioxide, lactate, alanine and aspartate. Employing fast spectroscopic imaging, we were able to observe regional variations in pyruvate perfusion as well as in lactate and bicarbonate productio

Triple Thread

Program listing performers and works performed

Lane County Strategic Equity Lens Implementation Project

12 pagesThe Lane County Equity Action Plan, adopted in January 2021, is aimed at improving equitable outcomes for its populations through the implementation of an equity lens in daily operations. The implementation of the equity lens framework is a change process that requires frequent evaluation and revision of policies, both internal and external. The authors conducted personal interviews with individuals in Lane County, Multnomah County, and the City of Portland who had experience in equity and inclusion, and reached four recommendations for Lane County to implement its Equity Action Plan.This project was funded in part by the UO – Lane County Policy La

The Flint Food Store Survey: combining spatial analysis with a modified Nutrition Environment Measures Survey in Stores (NEMS-S) to measure the community and consumer nutrition environments

Objective The goal of the present study was to use a methodology that accurately and reliably describes the availability, price and quality of healthy foods at both the store and community levels using the Nutrition Environment Measures Survey in Stores (NEMS-S), to propose a spatial methodology for integrating these store and community data into measures for defining objective food access. Setting Two hundred and sixty-five retail food stores in and within 2 miles (3·2 km) of Flint, Michigan, USA, were mapped using ArcGIS mapping software. Design A survey based on the validated NEMS-S was conducted at each retail food store. Scores were assigned to each store based on a modified version of the NEMS-S scoring system and linked to the mapped locations of stores. Neighbourhood characteristics (race and socio-economic distress) were appended to each store. Finally, spatial and kernel density analyses were run on the mapped store scores to obtain healthy food density metrics. Results Regression analyses revealed that neighbourhoods with higher socio-economic distress had significantly lower dairy sub-scores compared with their lower-distress counterparts (β coefficient=−1·3; P=0·04). Additionally, supermarkets were present only in neighbourhoods with \u3c60 % African-American population and low socio-economic distress. Two areas in Flint had an overall NEMS-S score of 0. Conclusions By identifying areas with poor access to healthy foods via a validated metric, this research can be used help local government and organizations target interventions to high-need areas. Furthermore, the methodology used for the survey and the mapping exercise can be replicated in other cities to provide comparable results

The Grizzly, November 2, 1993

Delta Pi Helps Out Local Church • Singel Discusses Health Care • Pi Omega Delta Awarded Banner for Blood Drive Success • Red and Gold Day a Success • Ursinus Student Has Heart • U.S. Economy Improving • U.S.G.A. Minutes • Chinese-American Novelist to Speak • Jackie Guerra: A Flop? • Literary Society • Choir to Perform Saturday • Branker Receives SAI Award • Vs.: Pearl Jam Tries to Follow a Ten • Photo Presentation Spotlights Homeless • Pencil Lovers Repressed at Ursinus • Dr. Margot Kelley Bursts my Bubble • Freshman Class to Hold Date Auction • Renowned Psychiatrist Indicted on Murder Charges • Sports Review • Intramural Volleyball to Begin November 11 • Edens and Guenther: UC Football\u27s Dynamic Duohttps://digitalcommons.ursinus.edu/grizzlynews/1323/thumbnail.jp