Browsing by Author "Rodriguez-Homs, Larissa G"
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Item Open Access A 17-Year-Old Girl With Unilateral Headache and Double Vision.(Journal of investigative medicine high impact case reports, 2019-01) Rodriguez-Homs, Larissa G; Goerlitz-Jessen, Mark; Das, Samrat UTolosa-Hunt syndrome is characterized by a painful ophthalmoplegia secondary to a granulomatous inflammation in or adjacent to the cavernous sinus. Magnetic resonance imaging will show enhancement of the cavernous sinus and/or the orbital apex. Although this syndrome is extremely rare in children, it should be a diagnostic consideration in patients presenting with painful ophthalmoplegia with variable involvement of cranial nerves II to VI. The differential diagnosis for unilateral cavernous sinus lesion is broad, including vascular lesions (cavernous sinus thrombosis), inflammatory processes (sarcoidosis, autoimmune), neoplastic processes (schwannoma, lymphoma), as well as infectious etiologies. We describe a pediatric patient presenting with neurological symptoms from a unilateral cavernous sinus magnetic resonance imaging abnormality and the thorough diagnostic approach to arrive at the diagnosis of Tolosa-Hunt syndrome.Item Open Access Gratitude at Work: Prospective Cohort Study of a Web-Based, Single-Exposure Well-Being Intervention for Health Care Workers (Preprint)Adair, Kathryn C; Rodriguez-Homs, Larissa G; Masoud, Sabran; Mosca, Paul J; Sexton, J BryanBACKGROUNDEmotional exhaustion (EE) in health care workers is common and consequentially linked to lower quality of care. Effective interventions to address EE are urgently needed.
OBJECTIVEThis randomized single-exposure trial examined the efficacy of a gratitude letter–writing intervention for improving health care workers’ well-being.
METHODSA total of 1575 health care workers were randomly assigned to one of two gratitude letter–writing prompts (self- vs other focused) to assess differential efficacy. Assessments of EE, subjective happiness, work-life balance, and tool engagement were collected at baseline and 1-week post intervention. Participants received their EE score at baseline and quartile benchmarking scores. Paired-samples <i>t</i> tests, independent <i>t</i> tests, and correlations explored the efficacy of the intervention. Linguistic Inquiry and Word Count software assessed the linguistic content of the gratitude letters and associations with well-being.
RESULTSParticipants in both conditions showed significant improvements in EE, happiness, and work-life balance between the intervention and 1-week follow-up (<i>P</i><.001). The self-focused (vs other) instruction conditions did not differentially predict improvement in any of the measures (<i>P</i>=.91). Tool engagement was high, and participants reporting higher motivation to improve their EE had higher EE at baseline (<i>P</i><.001) and were more likely to improve EE a week later (<i>P</i>=.03). Linguistic analyses revealed that participants high on EE at baseline used more negative emotion words in their letters (<i>P</i>=.005). Reduction in EE at the 1-week follow-up was predicted at the level of a trend by using fewer first-person (<i>P</i>=.06) and positive emotion words (<i>P</i>=.09). No baseline differences were found between those who completed the follow-up assessment and those who did not (<i>P</i>s>.05).
CONCLUSIONSThis single-exposure gratitude letter–writing intervention appears to be a promising low-cost, brief, and meaningful tool to improve the well-being of health care workers.
Item Open Access Gratitude at Work: Prospective Cohort Study of a Web-Based, Single-Exposure Well-Being Intervention for Health Care Workers.(Journal of medical Internet research, 2020-05-14) Adair, Kathryn C; Rodriguez-Homs, Larissa G; Masoud, Sabran; Mosca, Paul J; Sexton, J BryanBACKGROUND:Emotional exhaustion (EE) in health care workers is common and consequentially linked to lower quality of care. Effective interventions to address EE are urgently needed. OBJECTIVE:This randomized single-exposure trial examined the efficacy of a gratitude letter-writing intervention for improving health care workers' well-being. METHODS:A total of 1575 health care workers were randomly assigned to one of two gratitude letter-writing prompts (self- vs other focused) to assess differential efficacy. Assessments of EE, subjective happiness, work-life balance, and tool engagement were collected at baseline and 1-week post intervention. Participants received their EE score at baseline and quartile benchmarking scores. Paired-samples t tests, independent t tests, and correlations explored the efficacy of the intervention. Linguistic Inquiry and Word Count software assessed the linguistic content of the gratitude letters and associations with well-being. RESULTS:Participants in both conditions showed significant improvements in EE, happiness, and work-life balance between the intervention and 1-week follow-up (P<.001). The self-focused (vs other) instruction conditions did not differentially predict improvement in any of the measures (P=.91). Tool engagement was high, and participants reporting higher motivation to improve their EE had higher EE at baseline (P<.001) and were more likely to improve EE a week later (P=.03). Linguistic analyses revealed that participants high on EE at baseline used more negative emotion words in their letters (P=.005). Reduction in EE at the 1-week follow-up was predicted at the level of a trend by using fewer first-person (P=.06) and positive emotion words (P=.09). No baseline differences were found between those who completed the follow-up assessment and those who did not (Ps>.05). CONCLUSIONS:This single-exposure gratitude letter-writing intervention appears to be a promising low-cost, brief, and meaningful tool to improve the well-being of health care workers.