7,688 research outputs found

    A Letter from the Council of the Colony of Massachusetts Bay to the Council of Connecticut

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    Written April 7, 1676, by Edward Rawson, the Secretary. Issued at the General Court of the Society of Colonial Wars in the State of Rhode Island and Providence Plantations by its Governor, Frederick Dickman Carr, Esq. and the Council of the Society December 30, 1921. The letter begins with a formal expression of sympathy and condolence on the passing of Connecticut’s Governor John Winthrop (April 5, 1676). The letter goes on to discuss two matters of diplomacy, the impressment of Massachusetts sojourners in Connecticut, and the embargo or stop on the exportation of corn.https://digitalcommons.providence.edu/ri_history/1007/thumbnail.jp

    The Evaluation of Wellness Programs for Our Returning Veterans

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    Today we continue to experience inefficiencies in understanding the mental health and cultural needs of returning service members. I have conducted my own personal research to best comprehend the emotions and needs of returning veterans, evaluating the practices that are most beneficial for healing and reintegration. The primary focus of my independent study was to observe the current mental health treatments that are offered to the veterans outside of the traditional medical realm. In relation to this, I wanted to evaluate the role that religious and spiritual practices play in the veterans’ healing process. I spent four months observing and interviewing various personnel at the Providence Rhode Island Veterans’ Administration Hospital. I conducted interviews with a chaplain, psychologist, peer-­‐mentor specialist, anthropologist, veterans, and PTSD clinical staff members. My research also included the analysis of a documentary film, texts, research studies, and soldier’s memoirs. To demonstrate the services that returning veterans with mental health conditions would receive at the VAH, I applied the story of a recently returned veteran to my encounters. I used this veteran’s story to depict the vast amount of encounters that he could potentially experience during his treatment process, and the different types of treatment mechanisms that may be recommended. I have concluded this research with my personal recommendations, proposing changes and implementations that could be made to better treat the mental health conditions of the veterans

    Wong v. Tabor: The Latest Word in Physician-Attorney Countersuits

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    Amoxicillin for Severe Acute Malnutrition in Children

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    "For the sake of fullness of music in the choir”—performance practice and the double bass at the KromÄ›Ć™Ă­ĆŸ Court

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    Argues that the field of historically-informed performance is still applying romantic notions of approaches to the notation of double bass parts in the late seventeenth and early eighteenth century. Rather than looking to surviving parts for details about instruments, it is argued that the role and function in the context of basso continuo practice, much more than organological concerns about tuning and size, is key to a historical understanding of performance practice of the time. Relying on previously overlooked or mis-read primary sources, a new approach is called for as well as some reconsideration of the function of the 16' bass in the context of concert music with cello obligato

    Integration of substance use disorder services with primary care: health center surveys and qualitative interviews.

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    BackgroundEach year, nearly 20 million Americans with alcohol or illicit drug dependence do not receive treatment. The Affordable Care Act and parity laws are expected to result in increased access to treatment through integration of substance use disorder (SUD) services with primary care. However, relatively little research exists on the integration of SUD services into primary care settings. Our goal was to assess SUD service integration in California primary care settings and to identify the practice and policy facilitators and barriers encountered by providers who have attempted to integrate these services.MethodsPrimary survey and qualitative interview data were collected from the population of federally qualified health centers (FQHCs) in five California counties known to be engaged in SUD integration efforts was surveyed. From among the organizations that responded to the survey (78% response rate), four were purposively sampled based on their level of integration. Interviews were conducted with management, staff, and patients (n=18) from these organizations to collect further qualitative information on the barriers and facilitators of integration.ResultsCompared to mental health services, there was a trend for SUD services to be less integrated with primary care, and SUD services were rated significantly less effective. The perceived difference in effectiveness appeared to be due to provider training. Policy suggestions included expanding the SUD workforce that can bill Medicaid, allowing same-day billing of two services, facilitating easier reimbursement for medications, developing the workforce, and increasing community SUD specialty care capacity.ConclusionsEfforts to integrate SUD services with primary care face significant barriers, many of which arise at the policy level and are addressable
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