26 research outputs found

    Key Learning Statements for persistent pain education: an iterative analysis of consumer, clinician and researcher perspectives and development of public messaging

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    Data source: Supplementary data, https://doi.org/10.1016/j.jpain.2022.07.008Over the last decade, the content, delivery and media of pain education have been adjusted in line with scientific discovery in pain and educational sciences, and in line with consumer perspectives. This paper describes a decade-long process of exploring consumer perspectives on pain science education concepts to inform clinician-derived educational updates (undertaken by the authors). Data were collected as part of a quality audit via a series of online surveys in which consent (non-specific) was obtained from consumers for their data to be used in published research. Consumers who presented for care for a persistent pain condition and were treated with a pain science education informed approach were invited to provide anonymous feedback about their current health status and pain journey experience 6, 12 or 18 months after initial assessment. Two-hundred eighteen consumers reported improvement in health status at follow-up. Results of the surveys from three cohorts of consumers that reported improvement were used to generate iterative versions of 'Key Learning Statements'. Early iteration of these Key Learning Statements was used to inform the development of Target Concepts and associated community-targeted pain education resources for use in public health and health professional workforce capacity building initiatives. Perspective This paper reflects an explicit interest in the insights of people who have been challenged by persistent pain and then recovered, to improve pain care. Identifying pain science concepts that consumers valued learning provided valuable information to inform resources for clinical interactions and community-targeted pain education campaigns.Hayley B. Leake, Amelia Mardon, Tasha R. Stanton, Daniel S. Harvie, David S. Butler, Emma L. Karran, Dianne Wilson, JohnBooth, Trevor Barker, Pene Wood, Kal Fried, Chris Hayes, Lissanthea Taylor, Melanie Macoun, Amanda Simister, G. Lorimer Moseley, Carolyn Berryma

    Voices from the Wards (2022): A Collection of 55-Word Stories from the School of Medicine Class of 2022 at the University of Utah

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    Front Cover - Nicolette Jessen; You Are Irreplaceable - Derek Woodruff; Just a Pap Smear - Lindsey Wright; Mudblood - Anthony Mills; Suction - Nicolette Jessen; I Don\u27t Speak Spanish - Sarah Childs; Interview - Anonymous; The Laugh - Sam Simister; Will you be my doctor? - Samantha Derzon; Why Plastic Surgery? - Emily M. Graham; Days - Shreya Sreekantaswamy; You Will Lose - Derek Woodruff; A Smile - John Sanchez; No Heartbeat - Samantha Derzon; Night - Abbie Luman; Roller Coaster - Amanda Truong; How Catatonic - Jenna Tiller; IUFD - Intrauterine Fetal Demise - Sarah Kinsey; Slow Down - Sarah Childs; Red Lipstick - Nicolette Jessen; Ouch! - Daniel Brandley; So What Now? - Elzard H. Sikkema; Time of Death - Kassie Amann; Day of Discharge - Jackson Richards; ER - Harneet Dhillon; SICU - Abbie Luman; The Sub-I\u27s Patient - Shreya Sreekantaswamy; ICU Handoff - Nicolette Jessen; Duality - Sophie Janes; 2 Weeks\u27 Notice - Kassie Amann; Home - Harneet Dhillon; You Are Not Alone - Derek Woodruff; It\u27s a Race - Sarah Childs; Coffee, please - Sophie Janes; Surgery Clerkship - Gina Allyn; Valentine\u27s Day - Kassie Amann; Rainbow Pin - Sarah Kinsey; Laughing With You - Naveen Rathi; Happiness… - Shreya Sreekantaswamy; I\u27m Decompensating - Sarah Kinsey; Another Night - Abbie Luman; Medicine on Pause - Elzard H. Sikkem

    Flexible and Optimized IDL Compilation for Distributed Applications

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    . The author of a distributed system is often faced with a dilemma when writing the system's communication code. If the code is written by hand (e.g., using Active Messages) or partly by hand (e.g., using mpi) then the speed of the application may be maximized, but the human effort required to implement and maintain the system is greatly increased. On the other hand, if the code is generated using a high-level tool (e.g., a corba idl compiler) then programmer effort will be reduced, but the performance of the application may be intolerably poor. The tradeoff between system performance and development effort arises because existing communication middleware is inefficient, imposes excessive presentation layer overhead, and therefore fails to expose much of the underlying network performance to application code. Moreover, there is often a mismatch between the desired communication style of the application (e.g., asynchronous message passing) and the communication style of the code produce..

    Income diversification in Zimbabwe : welfare implications from urban and rural areas

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    The author examines, taking into account the urban-rural divides, the changes and welfare implications of income diversification in Zimbabwe following macroeconomic policy changes and droughts of the early 1990s. Data from two comparable national income, consumption and expenditure surveys in 1990-91 and 1995-96, which straddled a period of economic volatility and natural disasters, show that the percentage of households earning income from private and informal sources grew considerably, while that from government and formal sources declined in the aftermath of the drought and policy changes. The author finds that, in general, rural households tend to have a more diversified portfolio of income compared with their urban counterparts, and the degree of diversification decreases with the level of urbanization. However, there are important differences in the level of diversification within the rural and urban areas depending on wealth: While the relatively better-off households have a more diversified income base in rural areas, it is the poor who pursue multiple income sources in urban areas. A decomposition of changes in welfare indicates that the total contribution of income diversification is large and increased between 1990-91 and 1995-96 in both urban and rural areas. On the other hand, there were significant declines in returns to human and physical capital assets during the same period. The findings suggest that households with a more diversified income base are better able to withstand the unfavorable impacts of the policy and weather shocks. The fact that relatively better-off households have a more diversified income base following the shocks implies that the poor are more vulnerable to economic changes unaccompanied by well-designed safety nets.Rural Poverty Reduction,Inequality,Poverty Diagnostics,Economic Theory&Research
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