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Patient's Perspective Of Shared Decision-Making In Rheumatoid Arthritis Treatment: A Grounded Theory Exploration, Isabela Viana Oliveira, Mariana Martins Gonzaga Nascimento, Cristiane P. Rezende Mrs, Carina M. Neves, Hagabo Mathyell Silva, Ana Luiza Mourawad Cesar, Djenane Ramalho de Oliveira 2023 Universidade Federal de Minas Gerais

Patient's Perspective Of Shared Decision-Making In Rheumatoid Arthritis Treatment: A Grounded Theory Exploration, Isabela Viana Oliveira, Mariana Martins Gonzaga Nascimento, Cristiane P. Rezende Mrs, Carina M. Neves, Hagabo Mathyell Silva, Ana Luiza Mourawad Cesar, Djenane Ramalho De Oliveira

The Qualitative Report

Current guidelines for rheumatoid arthritis (RA) treatment state that all decisions should be shared with the patient. Therefore, it becomes necessary to understand in-depth how patients with RA with different levels of health literacy and activation feel about sharing the decision with the health professional and how they experience this process. Grounded theory was used. Data collection included semi-structured interviews with 14 patients with RA. From the analysis of the patients’ narratives, four categories were built: “Accepting the changes: non-shared decisions”; “The patient's rationale: why not share?”; “Reaching the requirements for sharing the decision: expanding the patient’s autonomy"; and "Experiencing …


Ode To My Emr, Kelly T. Clouse 2023 HCA Florida Orange Park Hospital

Ode To My Emr, Kelly T. Clouse

HCA Healthcare Journal of Medicine

Our EMRs should empower us, but unfortunately, they often bully and frustrate us. This poem is an expression of my frustration and disappointment with my own EMR. Creating it allowed me to channel my frustration and disappointment.


Resilience, Nicholas D'Angelo 2023 HCA Florida Orange Park Hospital

Resilience, Nicholas D'Angelo

HCA Healthcare Journal of Medicine

On one of the busiest parkways, in the midst of a spring drought, despite the lack of soil a sunflower blooms. This tiny beacon of hope represents the enduring spirit of humanity managing to struggle through this recent global pandemic. For me as a program director, it conjures to mind my graduating family medicine residents. Due to COVID-19, they had to pull extra shifts in the hospital, flip patients in the ICU, and witnessed death on an unprecedented scale. Despite this adversity, they continue to grow professionally, thrive individually, and show the world their sunny smiling faces.


Ambivalence At 10 000 Feet, Marc Perlman 2023 Albany Medical College

Ambivalence At 10 000 Feet, Marc Perlman

HCA Healthcare Journal of Medicine

The transition from medical neophyte to seasoned physician is a gradual process spanning the course of many years. However, there are various milestones throughout the experience that capture increases in decision-making capacity and responsibility, such as the switch from pre-clinical to clinical medical education. Medical students in their clinical years are endowed with an abundance of knowledge from their pre-clinical years and are just beginning to synthesize and apply that information to patient care. “Ambivalence at 10 000 Feet” captures a reflection of a third-year medical student on the theoretical decision to provide emergency medical care in the absence of …


Barriers And Facilitators To Achieving Well-Being In Pediatric Providers, Whitney Marvin, Jillian Harvey, Natasha Ruth 2023 Medical University of South Carolina

Barriers And Facilitators To Achieving Well-Being In Pediatric Providers, Whitney Marvin, Jillian Harvey, Natasha Ruth

Journal of Wellness

Introduction: Physician well-being has become increasingly important for health systems across the country due to the strong ties between quality, safety, and overall patient outcomes. Burnout has increased steadily and has been exacerbated by the COVID-19 pandemic. This study seeks to successfully identify factors that both enhance and detract from well-being in a cohort of pediatric faculty and advanced practice providers (APPs).

Methods: This study utilized a multimethod approach including surveys and a total of 8 semi-structured, virtual focus groups of pediatricians and advanced practice providers (orchestrated through Microsoft Teams) to understand perspectives on burnout and well-being. Each …


Blindness And The Beast: Disability, Fairy Tale And Myth In Wilkie Collins’ Poor Miss Finch, György Kiss 2023 University of Debrecen, Hungary

Blindness And The Beast: Disability, Fairy Tale And Myth In Wilkie Collins’ Poor Miss Finch, György Kiss

Journal of Gender, Ethnic, and Cross-Cultural Studies

The paper offers a close reading of Wilkie Collins’ 1872 novel, Poor Miss Finch through the lens of fairy tales, gender, and disability studies. In Poor Miss Finch, we follow the life of a young blind woman, Lucilla Finch, who falls in love with a man named Oscar Dubourg, whose appearance can be described as “monstrous”. This plot evokes the popular tale of ‘Beauty and the Beast’, which the paper argues is the inspiration of Poor Miss Finch. In his work, Collins incorporates and rethinks many elements of the fairy tale to fit them into the 19th …


“Handicap Removed”: An Alternative Path To The Social Model, Craig M. Rustici 2023 Hofstra University

“Handicap Removed”: An Alternative Path To The Social Model, Craig M. Rustici

Journal of Gender, Ethnic, and Cross-Cultural Studies

This article identifies an expression of a social model of disability in a 1966 film promoting Hofstra University’s Program for the Higher Education of the Handicapped and traces that model back to books published by the pioneering rehabilitation physician Henry H. Kessler in 1935 and 1947, decades before the UPIAS (Union of the Physically Impaired against Segregation) Fundamental Principles of Disability (1976). In light of Kessler’s articulation of social and minority models, identification of contrasting religious, charity and medical models, and discussion of disability stigma, this article reassesses Ruth O’Brien’s critique, in Crippled Justice (2001), of Kessler and the twentieth-century …


Building Up Cal Poly Global Brigades Student Group: Reflections On Designing And Implementing One Undergraduate-Led Community Info Session, Caroline Nicole Smith, Jafra D. Thomas 2023 California Polytechnic State University, San Luis Obispo

Building Up Cal Poly Global Brigades Student Group: Reflections On Designing And Implementing One Undergraduate-Led Community Info Session, Caroline Nicole Smith, Jafra D. Thomas

Kinesiology and Public Health

Intro: Global Brigades, an international non-profit organization, trains college students and other pre-professionals in community-based health promotion by mobilizing community service trips around the world, which are taught and led by local community groups. Cal Poly’s Global Brigades student group was founded in 2018, and thus far, they have carried out three annual, medically-focused brigades to Honduras (two in-person, one virtual).

Purpose: The aim of this report is to present the findings of one experiential senior project to promote Cal Poly’s Global Brigades student group[1] (conducted January to March 2023).

Methods: The student designed material for …


Dirt, Ground And Groundedness: Material Semiotics And Social Anchors Of The Real And Truth In The Modernist Imaginary, 2023 Cal Poly Humboldt

Dirt, Ground And Groundedness: Material Semiotics And Social Anchors Of The Real And Truth In The Modernist Imaginary

The International Journal of Ecopsychology (IJE)

What makes the ground (earth, dirt, soil) the axial point of reference for modern subjectivity? In this paper, I explore the semiotics of the ground and the complex ways modern subjectivity sets a performative frame around association/ disassociation with dirt. From the hygiene hypothesis and the problematic of modern existence and the lack of understanding of the good of dirt for the immune system to the ontology of being real in grounded theory, how we posit our connection to the ground can inform us of the way that we seek to anchor our place in the world. In this anchoring …


Phenomenographic Interpretation Of The Spanish Universalist School: Part I/Iii, 2023 Cal Poly Humboldt

Phenomenographic Interpretation Of The Spanish Universalist School: Part I/Iii

The International Journal of Ecopsychology (IJE)

Since the beginning of the XX Century, it exists as anti-Spanish propaganda, a stable narrative promoted since the XVI Century: The black legend (Leyenda Negra). This is one of the main reasons why, frequently, the Spanish pensamiento has been reconstructed in a half-hazard and incomplete manner. Paradoxically, this is the result of a past with high relevancy, developing as it did as imperial Catholic culture, integrating and civilizing different peoples as humanly and morally equals. More deservedly, a modern sense of a “self,” rightfully examined, is the idea of a “self” created by the School of Salamanca (see …


Table Of Contents Vol 6 (1) May 2023, 2023 Cal Poly Humboldt

Table Of Contents Vol 6 (1) May 2023

The International Journal of Ecopsychology (IJE)

No abstract provided.


Death Cafés As A Strategy To Foster Compassionate Communities: Contributions For Death And Grief Literacy, 2023 Cal Poly Humboldt

Death Cafés As A Strategy To Foster Compassionate Communities: Contributions For Death And Grief Literacy

The International Journal of Ecopsychology (IJE)

The death-positive movement, the most recent manifestation of the death awareness movement, contends that modern society is suffering from a “death taboo” and that people should talk more openly about death. This movement is striving to shift the dialogue about (and place of) death and dying into community spaces. Death literacy is defined as a set of skills and knowledge enabling people to learn about, understand, and act on end-of-life and death-care options. People and groups with a high level of death literacy have a context-specific comprehension of the death system and can more easily adapt to it, becoming better …


Exordium: Lost Words, Lost Worlds, 2023 Cal Poly Humboldt

Exordium: Lost Words, Lost Worlds

The International Journal of Ecopsychology (IJE)

Brunold-Conesa, C. (2022). Lost Words, Lost Nature: A Dictionary's Controversial Choices. Montessori Life: The Official Blog and Magazine of the American Montessori Society, Wednesday, September 07, 2022. https://amshq.org/Blog/2022-09-07-Lost-Words-Lost-Nature


Artist's Corner: Isabel Cidoncha, 2023 Cal Poly Humboldt

Artist's Corner: Isabel Cidoncha

The International Journal of Ecopsychology (IJE)

No abstract provided.


Poem: Adrienne Rich's (1955) "Ideal Landscape", 2023 Cal Poly Humboldt

Poem: Adrienne Rich's (1955) "Ideal Landscape"

The International Journal of Ecopsychology (IJE)

No abstract provided.


Editorial Introduction Vol 6 (1) 2023, 2023 Cal Poly Humboldt

Editorial Introduction Vol 6 (1) 2023

The International Journal of Ecopsychology (IJE)

No abstract provided.


Psychenatur: Selfing And Naturing, 2023 Cal Poly Humboldt

Psychenatur: Selfing And Naturing

The International Journal of Ecopsychology (IJE)

Insofar as our sense of and appreciation of “nature aesthetics” is both culturally biased and subjectively determined (given our agentic proclivities and/or actual degrees of freedom), and while taking the more inclusive perspective that, objectively so, ‘nature’ are all the processes seen and unseen that existed, now exist, and will exist, from the infinitesimally small to those of cosmic proportions, and, that whatever we mean by a singular “self” stands, in reality, for a multiplicity of self-other and self-otherness references (i.e., intersectionality during the entire life of a given individual—see Fig. 3), then all characterizations easily or convolutely described …


Book Review: Jared Farmer (2022). Elderflora: A Modern History Of Ancient Trees. Ny: Basic Books., 2023 Cal Poly Humboldt

Book Review: Jared Farmer (2022). Elderflora: A Modern History Of Ancient Trees. Ny: Basic Books.

The International Journal of Ecopsychology (IJE)

No abstract provided.


New Coyote (Qomu'tsau) Stories: Death, 2023 Cal Poly Humboldt

New Coyote (Qomu'tsau) Stories: Death

The International Journal of Ecopsychology (IJE)

No abstract provided.


Interview: Implementing A “Sense Of Place” Pedagogy In The Valley Of Alagón, Spain, 2023 Cal Poly Humboldt

Interview: Implementing A “Sense Of Place” Pedagogy In The Valley Of Alagón, Spain

The International Journal of Ecopsychology (IJE)

No abstract provided.


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