Mental Health Stigma and Wellbeing Among Commercial Construction Workers: A Mixed Methods Study.

Objective: The aim of this study was to understand the relationship between mental health stigma and wellbeing in a sample of commercial construction workers.

Methods: A sequential quantitative to qualitative mixed methods study was conducted. First, 264 workers were surveyed and logistic regression examined the associations between mental health stigma and psychological distress, substance abuse, and sleep; then, data from eight key informant interviews and six focus groups with workers were analyzed thematically.

The Effects of Alcohol Priming on the Subsequent Value of Alcohol.

Objective: Previous research has investigated the effects of substance priming (i.e., substance exposure or preload) on the subsequent value of alcohol.

Changing agricultural practices: potential consequences to aquatic organisms.

Agricultural practices pose threats to biotic diversity in freshwater systems with increasing use of glyphosate-based herbicides for weed control and animal waste for soil amendment becoming common in many regions. Over the past two decades, these particular agricultural trends have corresponded with marked declines in populations of fish and mussel species in the Upper Conasauga River watershed in Georgia/Tennessee, USA. To investigate the potential role of agriculture in the population declines, surface waters and sediments throughout the basin were tested for toxicity and analyzed for glyphosate, metals, nutrients, and steroid hormones.

A retrospective of EMR implementation in one large practice.

This article is the last of a six-part series regarding the implementation of an electronic medical record system in a large multisite physician practice. This particular article is meant to provide some insight regarding two matters any practice delving into this project should be prepared to consider: 1) don't underestimate the value of utilizing as many employees as possible in the pre-implementation planning stage; and 2) have a detailed plan for entering patient history information.

Defining the evolving role of the EMR Implementation Team.

With the electronic medical record (EMR) system implementation underway in a large multi-site physician practice, the EMR Implementation Team faces several challenges. Dealing with each challenge requires strategic thinking in order to meet short- and long-term goals. In doing so, the Implementation Team begins to evolve both in role and in function.

Triumphs and tribulations of an EMR go-live.

With customization of the electronic medical record (EMR) system winding down, ENT and Allergy Associates took the plunge with implementation of the system in its first practice location. Was the Implementation Team comfortable that the current status of the development was good enough to use? This article discusses what was learned as the EMR was unveiled for the first time.

EMR implementation: big bang or a phased approach?

There are two major strategies to implementing an EMR: the big-bang approach and the phased, or incremental, approach. Each strategy has pros and cons that must be considered. This article discusses these approaches and the risks and benefits of each as well as some training strategies that can be used with either approach.

Customizing an EMR: lessons learned.

No electronic medical record (EMR) system is ready to use out-of-the-box. Vendors provide rudimentary clinical content with the expectation that physicians will want to modify it to meet the needs of their individual practice style. This article discusses some key factors involving our experience with customizing our EMR system that, in hindsight, are thought to be valuable points of knowledge.

The search for an EMR system: weighing every option to ensure the best fit.

Having recently implemented a new practice management system, ENT and Allergy Associates began the search for an electronic medical record system. An integrated system seemed to be the obvious and logical choice, but researching all of the options ensured a well-informed decision and the comfort of knowing that the best product for the practice was selected. Therefore, the practice undertook an extensive search, finally narrowing the field down to two contenders: one that would be integrated, the other interfaced.