Publications by authors named "P Espinosa"

Background: Therapy decision-making (TDM) is an essential medical skill. However, teaching therapeutic reasoning poses significant challenges. We present a comprehensive TDM course for medical students and report on student satisfaction with the educational strategies, their perceived importance of various TDM domains, and their self-efficacy in incorporating these elements into clinical decisions.

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Objectives: Despite protections offered in California, there is limited understanding of abortion access in underserved regions, including the Central Valley. Furthermore, there has been limited community involvement, especially from those directly affected, in the development of research priorities in abortion care. We utilized the Research Prioritization of Affected Communities protocol to identify research priority topics and research questions for future abortion-related research.

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Biostimulation and precision irrigation are strategies that increase the sustainability of agriculture, and both have been widely studied in table grapes, but their interaction is a new approach for viticulture. The objective of this field trial was to assess the physiological effects of water deficit on table grapes pretreated for two consecutive years with five different biostimulation programs. Therefore, during the first year, vines were preconditioned with biostimulants composed of microorganisms, seaweed, and plant extracts and compared to an untreated control.

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Background: The Latinx community faces an increasing amount of mental health challenges and disparities in care. While the contributing factors are complex, there are likely potential barriers related to connecting with mental health support and accessing care that can be addressed.

Methods: To investigate barriers in connecting to mental health care, we conducted a cross-sectional survey of mental health service use and barriers in an urban community with a primarily Hispanic/Latinx ethnicity using a modified random walk approach for door-to-door data collection with a two-cluster sampling frame.

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Informal caregivers of older people face demanding responsibilities that can negatively affect their wellbeing, highlighting the relevance of interventions that address their specific needs. This study aimed to assess the effects of a group music therapy program based on different songwriting approaches applied to informal caregivers of older adults with dependency. A sample of 113 caregivers participated, being assigned either to the intervention ( = 60) or the control group ( = 53).

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