Publications by authors named "Emily Silver"

The attrition of health care professionals from institutions has historically been high, with reports of higher rates in women than men. High attrition jeopardizes the institution's financial stability, quality of patient care, and scholarly contributions to advancing health care. The disproportionate loss of women reduces the diversity of perspectives and skills needed to meet patient needs.

View Article and Find Full Text PDF

For social species, having strong and high-quality social relationships is an important safety cue. Loneliness occurs when an individual perceives they have insufficient relationships resulting in feelings of lack of safety. States of perceived unsafety are linked to an increased tendency to construe ambiguous information - information lacking a unique clear interpretation - as threatening.

View Article and Find Full Text PDF

Background: In the United States, nearly half of pediatricians dismiss or refuse to accept families that withhold consent from the administration of childhood vaccines. Since 2016, the American Academy of Pediatrics has called patient dismissal in these cases "an acceptable option." Clinician dismissal and non-acceptance pose a problem to public health because they cluster under-vaccinated children in the practices that remain willing to treat such children, and they decrease access to routine care for children who cannot find practices willing to accept or retain them.

View Article and Find Full Text PDF

The retention of physicians and other health care professionals in rehabilitation medicine is a critical issue that affects patients' access to care and the quality of the care they receive. In the United States and globally, there are known shortages of clinicians including, but not limited to, physicians, nurses, physical therapists, occupational therapists, and speech-language pathologists. These shortages are predicted to worsen in the future.

View Article and Find Full Text PDF
Article Synopsis
  • The American Association for Thoracic Surgery recommends frailty assessments to identify patients at higher risk of complications during surgery.
  • A study of 317 patients over 19 months found that 62.5% were either frail or prefrail, with frail patients generally being older, single or never married, and having lower lung function and income.
  • The results indicated that non-Hispanic Black patients were more likely to be frail or prefrail compared to non-Hispanic White patients, primarily due to differences in activity levels and gait speed.
View Article and Find Full Text PDF
Article Synopsis
  • Radiation therapy (RT) is an essential cancer treatment but can lead to side effects like fatigue and pain; prehabilitation aims to improve health before treatment to lessen these effects and enhance recovery.
  • A scoping review was conducted to analyze studies from the past 21 years that focus on prehabilitation interventions for cancer patients undergoing RT, uncovering 30 relevant articles with over 3600 participants.
  • The majority of studies (60%) were randomized controlled trials, mainly looking at patients with head and neck cancer, and focused primarily on targeted physical exercises as prehabilitation interventions, with adherence and feasibility being the key outcomes measured.
View Article and Find Full Text PDF

Purpose: Registries of clinical trials exist in part to standardize data for the scientific community. Studies in the United States demonstrated gaps in reporting on ClinicalTrials.gov.

View Article and Find Full Text PDF

Purpose Of Review: Multimodal prehabilitation aims to improve preoperative health in ways that reduce surgical complications and expedite post-operative recovery. However, the extent to which preoperative health has been affected by the COVID-19 pandemic is unclear and evidence for the mitigating effects of prehabilitation in this context has not been elucidated. The COVID-19 pandemic has forced a rapid reorganization of perioperative pathways.

View Article and Find Full Text PDF
Article Synopsis
  • * VA clinical practice guidelines showed a slightly better representation of women authors (24.2%), while US guidelines were notable for their low inclusion of women (16.7%) among authors.
  • * There's a critical need to address diversity gaps in clinical guideline authorship and their content, as these guidelines significantly influence health and economic outcomes.
View Article and Find Full Text PDF

A history of commitment to a mental health facility disqualifies applicants for gun licenses. Identifying such a history has become increasingly complex as the locus of confinement has become more diversified and privatized. In Massachusetts, prior to 2014, the databases used to identify individuals who would be disqualified on such grounds had not contemporaneously matched the evolution of the state's mental health systems.

View Article and Find Full Text PDF