Farnan, Jeanne M., O'Leary, Kevin J., Didwania, Aashish, Icayan, Liza, Saathoff, Mark, Bellam, Shashi, Anderson, Andy, Reddy, Shalini, Humphrey, Holly J., Wayne, Diane B., and Arora, Vineet M.
Journal of Hospital Medicine. July 2013, Vol. 8 Issue 7, p386, 4 p.
Hospitals -- Conferences, meetings and seminars, Workshops (Educational programs) -- Conferences, meetings and seminars, and Professional workers -- Conferences, meetings and seminars
Byline: Jeanne M. Farnan, Kevin J. O'Leary, Aashish Didwania, Liza Icayan, Mark Saathoff, Shashi Bellam, Andy Anderson, Shalini Reddy, Holly J. Humphrey, Diane B. Wayne, Vineet M. Arora BACKGROUND Unprofessional behavior can compromise care and detract from the hospital learning environment. Discrepancy between professional behaviors formally taught and what is witnessed has become increasingly evident. METHODS With funding from the American Board of Internal Medicine Foundation, a workshop was developed to address unprofessional behaviors related to inpatient care previously identified in a multi-institution survey. The aims were to utilize video-based education to illustrate unprofessional behaviors, how faculty play a role in promoting such behaviors, and facilitate reflection regarding motivation for and prevention of these behaviors. Hospitalists and housestaff at 3 Chicago-area academic hospitals and 1 community teaching affiliate participated. Videos were debriefed, identifying barriers to professional behavior and improvement strategies. A postworkshop survey assessed beliefs on behaviors and intent to change practice. RESULTS Forty-four (53%) faculty and 244 (68%) residents (postgraduate year 1 and greater) participated. The workshop was well received, with 89% reporting it 'useful and effective.' Two-thirds expressed intent to change behavior. Most (86%) believed videos were realistic and effective. Those who perceived videos as 'very realistic' were more likely to report intent to change behavior (93% vs 53%, P=0.01). CONCLUSIONS Video-based education is a feasible way to promote reflection and address unprofessional behaviors among providers and may positively impact the learning environment. Journal of Hospital Medicine 2013;8:386-389. A[c] 2013 Society of Hospital Medicine Author Affiliation: Supporting information: Additional Supporting Information may be found in the online version of this article Additional Supporting Information may be found in the online version of this article.
Economics, Economic development, Economic sectors, Economic systems, and Well-being
Disarticulation refers to the juxtaposition of economic sectors with different levels of development and productivity. Disarticulation is hypothesized to have a negative effect on social well-being, net of economic development, because it inhibits the spread effects generally thought to be associated with economic growth. Findings are in accord with this hypothesis, although the relationship is complex. The strongest effects of disarticulation are found among the poorest nations. The concept of disarticulation opens a new and promising avenue of research that may help to resolve contradictory findings of recent research on the political economy of growth. [ABSTRACT FROM AUTHOR]
Waste management, Hazardous substances, Demographic surveys, Environmental risk assessment, Demographic transition, Environmental sociology, Racism, Role playing, and Social groups
This article discusses he concept of "environmental equity" which assessing demographics concerning the treatment, storage and disposal of hazardous wastes (TSDF). Recent evidence of environmental inequity comes from a variety of studies showing that environmental risks, known or potential, are distributed differently across demographic groups. There are two major issues of debate in this context: first, the environmental racism and second, regarding TSDF. The often heated debate concerning TSDF has focused on inequity and on the potentially discriminatory nature of facility locations. Although inequitable distributions are not conclusive evidence of intentional prejudice, it is desirable to understand and document the distribution of facilities and the precise nature of any inequity across social groups, which is the main concern of this article. The first step in a geographic analysis is suggested to determine the appropriate area to be used as a unit of analysis. It is suggested that the judgment of equity then rests on prejudice and undue risk or harm. Demographic studies, however, play a critical role in assessing the equitable distribution of such facilities and evaluating prejudicial exposure to potential harm or benefit.
Economic development, Regression analysis, Fertility decline, Infant mortality, Birth control, and Developing countries
The article examines the role of economic disarticulation on fertility levels in less developed countries. The present analysis in the article extends the tradition of research by arguing that the degree of disarticulation provides theoretically more powerful and empirically more accurate way to operationalize the hypothesized distributional effects on fertility levels. Several sets of variables, including child and infant mortality levels, rational cost-benefit calculations at the family level, and female status have been shown to affect fertility rates. Economic disarticulation provides a theoretically more powerful and empirically more accurate way to operationalize the relationship between economic growth and fertility rates in less developed countries. The article shows that disarticulation is indeed a significant predictor of fertility rates, holding constant the level of development and controlling for previous levels of fertility. The article also presents regression analysis of the total fertility and family planning.