Outcomes of Physicians' Communication Goals During Patient Interactions.

During healthcare visits, physicians may set communication goals such as providing their patient with information about treatment; however, no recommendations exist regarding which goals physicians should prioritize during their often-brief interactions with patients. Two studies examined five communication goals (providing information, reducing distress, increasing patient satisfaction, increasing patient adherence, and encouraging hope) in the context of physician-patient interactions and their relationship with patient and physician outcomes. In Study 1, audio-recordings of physician-patient interactions were coded by research assistants for goal-related content. In Study 2, patients reported their physician's use of each goal during the interaction. In both studies, patients and physicians reported visit outcomes. Within-study meta-analyses suggested that the goal of reducing distress, but not the other goals, was consistently related to improved outcomes in Study 1. All goals were related to improved outcomes in Study 2. We then computed sample-size-weighted meta-analytic effects of each goal on each outcome across both studies. These results suggested that all of the goals had similar-sized positive relationships with patient and physician outcomes across studies. These findings suggest that physicians should generally approach consultations with communication goals in mind, but prioritizing efforts to reduce distress may be particularly beneficial

‘Maybe we can turn the tide’ : an explanatory mixed-methods study to understand how knowledge brokers mobilise health evidence in low- and middle-income countries

Background: Little is known about how knowledge brokers (KBs) operate in low- and middle-income countries (LMICs) to translate evidence for health policy and practice. These intermediaries facilitate relationships between evidence producers and users to address public health issues. Aims and objectives: To increase understanding, a mixed-methods study collected data from KBs who had acted on evidence from the 2015 Global Maternal Newborn Health Conference in Mexico. Methods: Of the 1000 in-person participants, 252 plus 72 online participants (n=324) from 56 countries completed an online survey, and 20 participants from 15 countries were interviewed. Thematic analysis and application of knowledge translation (KT) theory explored factors influencing KB actions leading to evidence uptake. Descriptive statistics of respondent characteristics were used for cross-case comparison. Findings: Results suggest factors supporting the KB role in evidence uptake, which include active relationships with evidence users through embedded KB roles, targeted and tailored evidence communication to fit the context, user receptiveness to evidence from a similar country setting, adaptability in the KB role, and action orientation of KBs. Discussion and conclusions: Initiatives to increase evidence uptake in LMICs should work to establish supportive structures for embedded KT, identify processes for ongoing cross-country learning, and strengthen KBs already showing effectiveness in their roles

From Diamond International to Plum Creek: The Era of Large Landscape Conservation in the Northern Forest

The last two decades have seen dramatic, unprecedented growth in conservation lands in the Northern Forest, stretching from upstate New York through Maine. The conservation community, in coordination with public agencies, has been able to take advantage of changing forest ownership structure and a significant expansion of public and private funding to support this increase in protected lands. As Sara Clark and Peter Howell discuss, Maine has been a laboratory for some of the largest and most innovative land transactions. Maine is unique in having land conservation strategies focused almost entirely on permanent protection of privately owned land rather than any significant increase in public ownership, and has served as a testing ground for innovative market-based conservation tools

Vol. 27 No. 3 (Autumn 2016), DOI 10.18060/21388 Building an Engagement Center through Love of Place: The Story of the Barbara Weitz Community Engagement Center

Universities throughout the United States operate engagement centers to extend campus faculty, staff and student resources to their communities. In 2014, the University of Nebraska Omaha (UNO) opened the Barbara Weitz Community Engagement Center (Weitz CEC): a privately funded $24 million, 70,000 square foot facility located in the middle of its original Dodge Street campus. In addition to offices for its service learning and community service enterprises, the CEC houses over thirty university and community organizations and offers extensive space for meetings, dialogue and collaboration. This paper will discuss its strategic and programmatic origins, unique design, and lessons learned in developing and operating the center

Working Together: A Values Approach for Strengthening University/Community Partnerships

Conference: Coalition of Urban and Metropolitan Universities (CUMU

Investigation of Alternative Return Strategies for Orion Trans-earth Injection Design Options

The purpose of this study is to investigate alternative return strategies for the Orion trans-Earth injection (TEI) phase. A dynamical systems analysis approach considers the structure of the stable and unstable Sun perturbed Earth-Moon manifolds near the Earth-Moon interface region. A hybrid approach, then, combines the results from this analysis with classical two-body methods in a targeting process that seeks to expand the window of return opportunities in a precision entry scenario. The resulting startup arcs can be used, for instance, to enhance the block set of solutions available onboard during an autonomous targeting process

The FUV to Near-IR Morphologies of Luminous Infrared Galaxies in the GOALS Sample

We compare the morphologies of a sample of 20 LIRGs from the Great Observatories All-sky LIRG Survey (GOALS) in the FUV, B, I and H bands, using the Gini (G) and M20 parameters to quantitatively estimate the distribution and concentration of flux as a function of wavelength. HST images provide an average spatial resolution of ~80 pc. While our LIRGs can be reliably classified as mergers across the entire range of wavelengths studied here, there is a clear shift toward more negative M20 (more bulge-dominated) and a less significant decrease in G values at longer wavelengths. We find no correlation between the derived FUV G-M20 parameters and the global measures of the IR to FUV flux ratio, IRX. Given the fine resolution in our HST data, this suggests either that the UV morphology and IRX are correlated on very small scales, or that the regions emitting the bulk of the IR emission emit almost no FUV light. We use our multi-wavelength data to simulate how merging LIRGs would appear from z~0.5-3 in deep optical and near-infrared images such as the HUDF, and use these simulations to measure the G-M20 at these redshifts. Our simulations indicate a noticeable decrease in G, which flattens at z >= 2 by as much as 40%, resulting in mis-classifying our LIRGs as disk-like, even in the rest-frame FUV. The higher redshift values of M20 for the GOALS sources do not appear to change more than about 10% from the values at z~0. The change in G-M20 is caused by the surface brightness dimming of extended tidal features and asymmetries, and also the decreased spatial resolution which reduced the number of individual clumps identified. This effect, seen as early as z~0.5, could easily lead to an underestimate of the number of merging galaxies at high-redshift in the rest-frame FUV.Comment: Accepted for publication in the Astronomical Journal. The total page count is 15 pages with 13 figures and 1 Tabl

Love of Place: The Metropolitan University Advantage: 2015 CUMU National Conference in Omaha

The theme for the 2015 CUMU National Conference in Omaha, NE was “Love of Place: The Metropolitan University Advantage”. The 2015 theme celebrates key elements that establish the identity of metropolitan universities and CUMU as an organization. The theme recognizes the unique opportunities and benefits provided by metropolitan universities for students and communities. Metropolitan universities provide students with enriching educational experiences while contributing to building and strengthening the community. These enriched experiences also support faculty and staff growth as members of the university and community. The theme encouraged conference participants to explore new pedagogical approaches, strategies for sustaining meaningful partnerships, and opportunities for successful engagement of the community by examining the transformative power of the relationships between metropolitan universities and their “place.” Essential to this theme is the notion of stewardship and being good stewards of the communities that we live in, that bless our lives, our families, and our universities. The special issue devoted to the theme and notion of “Love of Place” provides an overview of the stewardship witnessed at the conference and then launches into the full article contributions that illustrate the “Love of Place” exemplified by the great presenters and the many initiatives occurring across the CUMU