Advanced Patient-Centered Communication for Health Behavior Change: Motivational Interviewing Workshops for Medical Learners

Introduction: Medical settings are critical access points for behavior change counseling, and lifestyle behavior change is considered a key component of chronic disease management. The Association of American Medical Colleges recommends that future physicians be competent in shared decision making and patient-centered behavioral guidance to prevent illness and improve patient self-management of chronic disease. Motivational interviewing (MI) is a patient-centered, directive method of communication to enhance behavior change. Specific teachable strategies underlie the collaborative MI communication style that aims to reduce discord and build motivation for change. Methods: We present our three-session 12-hour MI curriculum as an advanced form of patient-centered communication. Each session includes presession assignment, large-group interactive lecture, and small-group activities for practice. An interdisciplinary team consisting of medical educators and health behavior change research-educators who are also members of the Motivational Interviewing Network of Trainers created the submission. The purpose of this resource is to provide medical educators with a short curriculum that incorporates materials and learning activities to promote skill in MI. Results: In addition to positive feedback from student evaluations including the areas of relevance to training and self-rated skills improvement, preliminary pre- and posttraining scores from the medical students show significant improvement in expression of empathy and the ratio of reflections to questions. Discussion: Implementation of the curriculum allows learners the opportunity to practice evidence-based communication that promotes intrinsic motivation for health behavior change in patients, a key treatment focus in chronic disease management

A catalogue of young runaway Hipparcos stars within 3kpc from the Sun

Traditionally runaway stars are O and B type stars with large peculiar velocities.We want to extend this definition to young stars (up to ~50 Myr) of any spectral type and identify those present in the Hipparcos catalogue applying different selection criteria such as peculiar space velocities or peculiar one-dimensional velocities. Runaway stars are important to study the evolution of multiple star systems or star clusters as well as to identify origins of neutron stars. We compile distances, proper motions, spectral types, luminosity classes, V magnitudes and B-V colours and utilise evolutionary models from different authors to obtain star ages and study a sample of 7663 young Hipparcos stars within 3 kpc from the Sun. Radial velocities are obtained from the literature. We investigate the distributions of the peculiar spatial velocity, the peculiar radial velocity as well as the peculiar tangential velocity and its one-dimensional components and obtain runaway star probabilities for each star in the sample. In addition, we look for stars that are situated outside any OB association or OB cluster and the Galactic plane as well as stars of which the velocity vector points away from the median velocity vector of neighbouring stars or the surrounding local OB association/ cluster although the absolute velocity might be small. We find a total of 2547 runaway star candidates (with a contamination of normal Population I stars of 20 per cent at most). Thus, after subtraction of those 20 per cent, the runaway frequency among young stars is about 27 per cent. We compile a catalogue of runaway stars which will be available via VizieR.Comment: 12 pages, 8 figures, 7 tables, accepted for publication in MNRAS old version replaced due to change of the title after journal proof-readin

Catalyse par transfert de phase, Solide-Liquide, sans solvant rajoute: optimisation de la synthese de nitriles. Preparation et hydrolyse d'esters encombres

*INRA Centre de Recherches de Versailles Laboratoire de Biometrie Route de Saint-Cyr 78026 Versailles Cedex Diffusion du document : INRA Centre de Recherches de Versailles Laboratoire de Biometrie Route de Saint-Cyr 78026 Versailles Cedex Diplôme : Dr. d'Universit

Novel Materials through Non-Hydrolytic Sol-Gel Processing: Negative Thermal Expansion Oxides and Beyond

Low temperature methods have been applied to the synthesis of many advanced materials. Non-hydrolytic sol-gel (NHSG) processes offer an elegant route to stable and metastable phases at low temperatures. Excellent atomic level homogeneity gives access to polymorphs that are difficult or impossible to obtain by other methods. The NHSG approach is most commonly applied to the preparation of metal oxides, but can be easily extended to metal sulfides. Exploration of experimental variables allows control over product stoichiometry and crystal structure. This paper reviews the application of NHSG chemistry to the synthesis of negative thermal expansion oxides and selected metal sulfides

Novel Materials through Non-Hydrolytic Sol-Gel Processing: Negative Thermal Expansion Oxides and Beyond

Low temperature methods have been applied to the synthesis of many advanced materials. Non-hydrolytic sol-gel (NHSG) processes offer an elegant route to stable and metastable phases at low temperatures. Excellent atomic level homogeneity gives access to polymorphs that are difficult or impossible to obtain by other methods. The NHSG approach is most commonly applied to the preparation of metal oxides, but can be easily extended to metal sulfides. Exploration of experimental variables allows control over product stoichiometry and crystal structure. This paper reviews the application of NHSG chemistry to the synthesis of negative thermal expansion oxides and selected metal sulfides