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Health Care Delivery and Financial Considerations in Amyotrophic Lateral Sclerosis Clinics: A Survey of Clinic Directors.

Neurology

February 2025

From the Temple University College of Public Health (I.L.H.); Thomas Jefferson University (G.G.); and Department of Neurology (T.D.H.-P.), Lewis Katz School of Medicine at Temple University, Philadelphia, PA.

Background And Objectives: Clinical care for people living with amyotrophic lateral sclerosis (PLWALS) is directed at slowing disease progression and symptom management. The American Academy of Neurology recommends a multidisciplinary approach to providing ALS health care because observational studies show that multidisciplinary clinics (MDCs) extend survival and improve quality of life. However, providing multidisciplinary care is a challenging financial proposition.

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Psychological interventions may make a valuable contribution to recovery following a mild traumatic brain injury (mTBI) and have been advocated for in treatment consensus guidelines. Acceptance and Commitment Therapy (ACT) is a more recently developed therapeutic option that may offer an effective approach. Consequently, we developed ACTion mTBI, a 5-session ACT-informed intervention protocol.

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Psychology and whiteness itself.

Am Psychol

January 2025

Department of Counseling and Clinical Psychology, Teachers College, Columbia University.

In the aftermath of its Apology to People of Color (American Psychological Association, 2021b), the American Psychological Association recently committed itself to a long-term process by which it aims to address racial equity within the field of psychology as well as society more broadly (Andoh, 2022). In service of these ends, what can psychology learn from an analysis of the discursive framework within which it conducts its racism-related work? This critical conceptual article begins with the premise that all professional discourse-the concepts, language, and logic structures by which a field creates and communicates knowledge-inevitably bears the markings of the society in which it was established. Examination of psychological discourse, therefore, can reveal information not only about social hierarchies but also about the field's potential reproduction of them (even when the field intends to do otherwise).

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Effective documentation and coding in health care are crucial for patient care, safety, workflow improvement and accurate billing. This quality improvement study aimed to enhance History and Physical (H&P) note documentation and charge capture processes to integrate coding and billing aspects, capture authentic work, preserve the H&P's integrity and align H&P-related revenue with actual performance. A multidisciplinary team, including divisional leadership and specialists in documentation improvement, electronic health records, lean/six sigma methodology, a nocturnist and a senior-level physician coding auditor, initiated a quality improvement project.

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A simple cavity-enhanced laser-based heater for reflective samples.

Rev Sci Instrum

January 2025

Institute for Physical Chemistry, University of Göttingen, 37077 Göttingen, Germany.

Surface science instruments require excellent vacuum to ensure surface cleanliness; they also require control of sample temperature, both to clean the surface of contaminants and to control reaction rates at the surface, for example, for molecular beam epitaxy and studies of heterogeneous catalysis. Standard approaches to sample heating within high vacuum chambers involve passing current through filaments of refractory metals, which then heat the sample by convective, radiative, or electron bombardment induced heat transfer. Such hot filament methods lead to outgassing of molecules from neighboring materials that are inadvertently heated; they also produce electrons and ions that may interfere with other aspects of the surface science experiment.

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