Category: Interpersonal Communication

New Year’s Resolutions: How to achieve them in 2018

As the holidays are quickly approaching, schools are letting out for their winter breaks, work holiday parties are filling up our weekends and everyone is ready to put behind this year and begin anew.  Over the years my resolutions have been the stereotypical ones: eat healthier, go to the gym and usually tend to break them by the end of January along with the majority of Americans.  About 40% of Americans make resolutions each year with only about 8% achieving their goals. How do we go about making our resolutions more successful?

A CBS News article published some tips on how to make your resolutions more achievable:  

  • Be honest with yourself
  • Stick to one thing
  • Make your goals SMART (Specific, Measurable, Attainable, Realistic and Timely)  
  • Adapt your environment
  • Track your progress
  • Celebrate with success and be compassionate with setbacks

Happy resolution making!!

From Ke$ha to Kesha: A Glitter Queen’s Ascension to Self-Care Goddess

Last week, pop-artist Kesha authored a piece for Time on the added pressure of the Holiday season for those living with Mental Illness. In the piece, she discusses the added pressures that this time of year can add, but you might be asking yourself, who is Kesha to give me life advice?

Following a year that included a highly publicized comeback single, accompanied by her second Number One album, a critically proclaimed tour, and her first Grammy nominations, one could say things are going well for the artist who’s early career was built on electro-pop and a quirky party girl aesthetic. While her new album highlights overcoming personal struggles and finding self-acceptance, it has not been all Rainbows for Kesha.

While promoting her albums upcoming release over the summer, Kesha released a series of letters to fans regarding each single that dropped, sharing an intimate and personal look into the process of how she turned her pain into art. She touched on her time in rehab for an eating disorder, her struggles with mental illness, and her decision to drop the $ from her name. Starting with a piece published in Lenny Letter opening up about depression, finding empathy, and the process of turning pain into art through Praying, to a piece from Rolling Stone where she shared about her idols and Female Empowerment in Woman, to Learning to Let Go and defining her own mantras in Huffington Post, to sharing in Mic on feeling like an outcast and her passion for equality on Hymn, and finishing with a piece in Refinery29 regarding the album’s title track, Kesha provided fans with a detailed look into her songwriting process and personal life.

In being vulnerable, Kesha not only reminds us that there is a reason to keep fighting when things are not going well, but also continues an ongoing effort to destigmatize mental health. Through her songs and her form of blogging, Kesha showed the world the destruction of perfectionism and the benefits of radical self-love.

But rest assured: I can speak from seeing her in concert this fall that our girl still loves her glitter. Here’s to continue to rooting for her to continue reaching for the stars and shining bright for her fans in years to come.

Sources:

Kesha: The Holidays Are Hard If You Struggle With Mental Illness. Don’t Blame Yourself: http://time.com/5041017/kesha-self-care-holidays/

Kesha Fights Back in Her New Single, “Praying”: http://www.lennyletter.com/culture/a904/kesha-is-back-with-a-new-single-praying/

Read Kesha’s Poignant Essay About Celebratory New Song ‘Woman”: http://www.rollingstone.com/music/premieres/read-keshas-poignant-essay-about-celebratory-new-song-woman-w491950

Learn to Let Go: https://www.huffingtonpost.com/entry/kesha-learn-to-let-go_us_59790480e4b02a8434b3841f

Read Kesha’s essay on her new single “Hymn” – a song for “people who feel like outcasts”: https://mic.com/articles/183195/kesha-essay-new-single-hymn-for-people-who-feel-like-outcasts#.D1hhvBGGM

Kesha: “What’s Left Of My Heart Is Fucking Pure Gold & No One Can Touch That”: http://www.refinery29.com/2017/08/167127/kesha-rainbow-lyrics-meaning-album-inspiration

Interactions

Could a lack of communication between older Americans and their healthcare providers increase the likelihood of a bad interaction? And by “bad interaction,” I don’t just mean interpersonally. The University of Michigan conducted a national poll of 1,690 Americans ages 50 to 80 and found that only 35% of those taking multiple medications had discussed possible drug interactions with a health professional in the past two years.

This lack of open-dialogue may be due to the transient nature of where we get our medication. Of the sample, 20% had used more than one pharmacy in the past two years. And even so, only 36% reported that their pharmacist definitely knew of all the medications they were taking. Alcohol, supplements, and certain foods can affect how the body responds to medication as can other medications.

Older adults especially may also be under the care of many different doctors and specialists, with 60% seeing more than one doctor. Addressing medication interactions can be challenging even when all the information is presented but when doctors don’t have the whole picture of which medications are at play, they very well could miss something. Electronic records and medical computer systems may be of assistance in flagging potential interactions, but a complete list of a patient’s medications is still necessary.

Patient-provider communication in recent years has been supplemented with patient portals and electronic paper trails, and I wonder if this older age group is slipping through the gap between interpersonal and electronic communication.

 

Impostor Experience: The Advice I Keep Giving Myself in Graduate School

Impostor experience is characterized as having an inability to internalize one’s accomplishments, where those who experience it feel that they are a fraud, that they have somehow deceived others to believe that they are smarter than they actually are. These feelings occur even when contradicted by success, often crediting luck or good timing over their own hard work and effort. And it is quite prevalent in academic spaces.

When I started my graduate career, I was lucky enough to have professors who were well aware of this topic, encouraging students to reach out when they needed to, reminding us that we all have expertise to contribute to the classroom, we all have a space.

As a first generation college student, I still have moments almost daily where I feel like I don’t belong, that this isn’t really the place for me. Sometimes it’s a simple comment, someone in class sharing an experience, like “Oh my dad’s a doctor”. Don’t get me wrong, my parents are two of the hardest working people I know. But there are constantly reminders for me that in pursuing a graduate degree, I’m taking a career path that not many people who knew me as a child could even imagine.

Below I’ve attached some resources that I have found particularly helpful at some low points in my academic career. But what has helped the most for me is opening up to my friends and classmates, and realizing that I am not the only one having these feelings. I’m writing this because I’m not perfect at taking my own advice, I still need to step back and use some of these strategies, and I still need to practice opening up when I’m struggling.

Sources:

APA Cover Story: Feel like a fraud? http://www.apa.org/gradpsych/2013/11/fraud.aspx

The Chronicle of Higher Education: Impostor Syndrome is Definitely a Thing: http://www.chronicle.com/article/Impostor-Syndrome-Is/238418

Emerging Emojis–the fight for a seat at the table

Do you sometimes feel like an emoji is the only way to perfectly embody the message, or the face, you are trying to convey?

It’s no secret that emojis are changing the way we communicate. They don’t just appear on our phones, either. Popularized emojis are iconic, appearing on clothing, in advertisements, and other outlets. They allow for a creation of meaning and personalization, as a readily accessible tool with which to join a dialogue.

Marla Shaivitz, a communication specialist at Johns Hopkins University’s Bloomberg School of Public Health, and Jeff Chertack, a malaria expert with the Bill & Melinda Gates Foundation, are appealing to the Unicode Consortium–an organizing body that approves characters an emojis for standardized usage–to consider adding a female mosquito to the list of emojis that will be added to smartphones next year. Apparently, the mosquito is among a list of 67 finalists that will be further considered.

Anticipated uses of the emoji include pairing the image with other symbols–a rain cloud, for instance, to encourage people to stay dry indoors and to encourage insecticide application–or to indicate that eradication efforts are under progress. As mosquitoes are key in infectious disease transmission (for viruses including dengue, Zika, malaria, and yellow fever), a recognizable symbol might encourage more dialogue about preventative behaviors or information-seeking behaviors.

Shaivitz and Chertack make their case by estimating seven times more usage of the mosquito emoji than of the beetle emoji on Twitter. In fact, they claim there is a pretty high demand for it.

When you think about the truly random emojis that do exist, it would seem far-fetched not to include one that has the potential to actually make a  positive change. Time will tell if Unicode bites.

Sources:

http://www.latimes.com/science/sciencenow/la-sci-sn-moquito-emoji-health-20170922-story.html

hhtps://ccp.jhu.edu/2017/09/18/creating-buzz-proposing-mosquito-emoji-public-health/

 

Narrative Reconstruction: a Lesson we can learn from Taylor Swift

This past Sunday, Taylor Swift premiered the music video for her latest single, Look What You Made Me Do, at the MTV Video Music Awards. The video went viral upon release, and subsequently has been the subject of a number of internet think pieces breaking down the star’s critiques on different personas of herself in the public eye over the course of her career. In case you missed it, you can find it here.

 But beyond providing a tongue in cheek look into the perceptions of a widely successful pop artist, the idea of reconstructing narratives for self-affirmation can be key to those who have suffered previous traumatic experiences.

 A study recently published in Qualitative Social Work studied the effect of narrative construction, or having an organized and logical story of their previous traumatic experiences, along with a clear sense of self throughout and a sense of how that experience has shaped them. They found that compared to those who had not constructed a narrative, those with a higher level of narrative construction noted an increased acceptance of their experiences, and being more likely to perceive life experiences as positive and significant. Those with an elevated sense of narrative construction credited their success to strategies such as reflective writing, informal conversations with supportive friends and family, and seeking professional help such as Cognitive Behavioral Therapy.

But often, the stressors of daily life are somewhere between trauma and celebrity feud. As summer is ending and the school year here again, it’s a great time to begin to regularly process emotions, especially with the seemingly constant stream of news and celebrity gossip. With September being Self-Awareness month, taking the time for some reflective journaling, or simply maintaining a strong support system of friends and family can set you up for success. If you feel like talking to a professional, the university has wonderful Counseling and Psychological Services, with walk in services regularly available. Beyond that, if you need additional help for figuring out to find a therapist, or if you’re curious about what therapy could look like, check out this article published by the New York Times – How to Find the Right Therapist.

 

For CAPS Walk-In Services:

Go to the 3rd floor of the Campus Health Services Building.

MON-THURS: 9 am – noon or 1 pm – 4 pm

FRI: 9:30 am – noon or 1 pm – 4 pm.

 

Sources-

Qualitative Social Work: http://journals.sagepub.com/doi/abs/10.1177/1473325016656046

New York Times Article: https://www.nytimes.com/2017/07/17/smarter-living/how-to-find-the-right-therapist.html?mcubz=1&_r=0

October is Domestic Violence Awareness Month

By: Aria Gray MPH: Maternal and Child Health candidate 2017

What is Domestic Violence? Domestic violence is the willful intimidation, physical assault, battery, sexual assault, or other abusive behavior as part of a systematic pattern of power and control perpetrated by one intimate partner against another. It can include physical violence, sexual violence, psychological violence, and emotional abuse. Domestic violence affects individuals in every community regardless of age, economic status, sexual orientation, gender, or other demographic factors. However, domestic violence is most commonly experienced by  women between the ages of 18-24.

Domestic violence is preventable. Part of domestic violence prevention includes talking about this issue and reducing the stigma associated with it as a community. While all of October is Domestic Violence Awareness Month, the National Network to End Domestic Violence is hosting a week of action from October 16-October 22.

Here are some ways that you can get involved during the week of action and throughout all of October. You can also search for events that may be happening in your community with local organizations.

  • Wear purple for #PurpleThursday on Thursday October 20
  • Speak Out: Talk with a friend, family member, or colleague about domestic violence to help eliminate stigma and show survivors that they are supported.
  • Follow the National Network to End Domestic Violence on social media (Facebook, Twitter, and Instagram and change

For anonymous, confidential help available 24/7, call the National Domestic Violence Hotline at 1-800-799-7233 (SAFE) or 1-800-787-3224 (TTY) now.

Corporate Integrity Agreements

Throughout the summer I’ve dedicated several posts to the ways that medical and pharmaceutical publishing should be ethically conducted, according to established requirements and guidelines.

However, I’m sure it comes as no surprise that pharmaceutical companies have consistently failed to play by these rules. Headlines such as “GlaxoSmithKline to Plead Guilty and Pay $3 Billion to Resolve Fraud Allegations and Failure to Report Safety Data,” and “Bristol-Myers Squibb to Pay More Than $515 million to Resolve Illegal Drug Marketing and Pricing Allegations,” are proof that these companies are not always committed to high ethical standards of practice.

Although industry standards such as the ICMJE and GPP3 guidelines are almost universally accepted, they are not laws and are therefore not usually enforceable.

However, when pharmaceutical and biotech companies fall under Federal investigation, the Office of the Inspector General (OIG) can make them agree to abide by a Corporate Integrity Agreement (CIA) as part of their legal settlement.

These CIAs legally obligate companies to abide by many of the tenets of the previously mentioned guidelines and ensure ethical practice by imposing requirements such as:

  • hiring a compliance officer/appointing a compliance committee
  • developing written standards and policies
  • implementing a comprehensive employee training program
  • retaining an independent review organization (IRO) to conduct annual reviews
  • restricting employment of ineligible persons (people who have been flagged for unethical behavior)
  • providing an implementation report and annual reports to OIG on the status of compliance activities

If a company is non-compliant with their CIA, they risk having their product pulled from the list of products that can be reimbursed through Federal health care programs such as Medicare and Medicaid. This loss would be a crippling financial hit to most companies, making compliance with these agreements a high priority.
In this way, the industry can be kept in check and forced to behave in a more ethical manner.

Research Dissemination: Part 2

The most highly regarded place to publish medical research findings is in a peer-reviewed scholarly journal. However, journals are not all considered equal.


Most people have at least heard of the so-called “top-tier” journals including The Journal of the American Medical Association (JAMA), the British Medical Journal, and the New England Journal of Medicine. There are also mid-tier journals which are still respectable, but less competitive, and then there are lower quality journals whose standards and peer review process are much less rigorous (or non-existent) and consequently are taken much less seriously by the medical community.  

The dream is usually to have an article published in a top-tier journal, however, this is not always the best choice depending on the content and goal of a paper. If a paper does not present novel and/or ground-breaking findings, it is probably not worth an author’s’ time to submit it to a top journal and then wait, only to be rejected. Also, if authors’ want to get the results of a study published quickly so that the data is publicly available (for instance to help support an application for FDA approval), it is probably better to go with a less prestigious journal that has a higher acceptance rate or a less rigorous review process.

In addition to journal prestige, there are many other factors that must also be considered when deciding where to submit a manuscript. For example, medical specialty, target audience, impact factor, primary language or region, length limits, and allowance of figures and other supplementary materials are all potential considerations.

Due to the complexity of the factors that weigh into this decision, many medical publications agencies offer assistance with target journal selection by researching and compiling this information for authors so that they can more easily make a decision based on the variables that are most important to them for a particular manuscript.

 
Getting the right information in front of the right audience in a timely manner is critically important in fields such as medicine and pharmaceuticals since that information could potentially affect the lives and well-being of countless individuals.

Research Dissemination: Part 1

After a clinical trial or other medical study has been conducted and the researchers have planned out the ways in which they want to structure the results for disseminationthey next need to actually make that information public in the form of one or more medical publications. These publications typically take the form of posters, presentations, and journal manuscripts.

These publications all require a brief written summary known as an abstract. An abstract includes an overview of each relevant section of a medical publication including the study’s objectives, methods, results, and a discussion of the main conclusions.

For conferences, abstracts are typically developed and submitted as a first step in the acceptance process. The conference committee will then use the submitted abstract to decide whether or not to include a poster or presentation about that study as part of the conference. Once an abstract has been accepted to the conference, the authors can then create a poster or slide deck to present.

Because researchers want to get the maximum bang for their buck when it comes to their study data, most research findings will be presented as a poster or an oral presentation at a medical conference first, then be expanded into a full manuscript for publication in an academic journal.
Manuscripts allow researchers to provide a more detailed description of a study’s results and implications and are also able to reach a wider audience. We’ll talk more about manuscripts in next week’s post so be sure to check back on Monday.