Publications by authors named "S S GOLD"

Unlabelled: Policy Points A redirection of measurement in health care from a narrow focus on diseases and care processes towards assessing whole person health, as perceived by the person themself, may provide a galvanizing view of how health care can best meet the needs of people and help patients feel heard, seen, and understood by their care team. This review identifies key tensions to navigate as well as four overarching categories of whole person health for consideration in developing an instrument optimized for clinical practice. The categories (body and mind, relationships, living environment and finances, and engagement in daily life) include nine constituent domains.

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Background: Fatigue is common in multiple sclerosis (MS); it significantly impairs quality of life, and treatment options are limited. A randomized controlled trial of Elevida, a self-guided, online German fatigue intervention, showed significant benefit. We tested an English version of Elevida with people with MS in Australia.

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Objective: Crafting high-quality value sets is time-consuming and requires a range of clinical, terminological, and informatics expertise. Despite widespread agreement on the importance of reusing value sets, value set repositories suffer from clutter and redundancy, greatly complicating efforts at reuse. When users encounter multiple value sets with the same name or ostensibly representing the same clinical condition, it can be difficult to choose amongst them or determine if any differences among them are due to error or intentional decision.

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Article Synopsis
  • Frequent and severe wildfires in the American West have led to increased use of fire suppression products, including long-term fire retardants and Class A foams, which have unknown formulations due to trade secrets.
  • Concerns have arisen regarding increased metal concentrations in soils and waters post-fire, with this study examining whether fire suppression products contribute to this issue.
  • The findings revealed that long-term fire retardants contained high levels of toxic metals, exceeding drinking water limits significantly and potentially impacting aquatic environments, with an estimated 380,000 kg of toxic metals released in the U.S. from 2009 to 2021.
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