Michael J. Green
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View article: Effects of alcohol consumption on employment and social outcomes: a Mendelian randomisation study
Effects of alcohol consumption on employment and social outcomes: a Mendelian randomisation study Open
Aims Alcohol consumption is associated with socioeconomic disadvantage, but causality is unclear. We used Mendelian randomisation (MR) to estimate the effect of alcohol consumption on socioeconomic and employment-related outcomes. Methods …
View article: Learning by drawing: understanding the potential of comics-based courses in medical education through a qualitative study
Learning by drawing: understanding the potential of comics-based courses in medical education through a qualitative study Open
In recent years, medical educators have increasingly incorporated comics into their teaching to promote humanism and empathy and to encourage reflective practice. However, it remains unclear how and to what extent comics-based courses effe…
View article: Impact of the Graphic Memoir <i>My Degeneration: A Journey Through Parkinson’s</i> on Patients With Parkinson’s Disease: A Mixed Methods Study
Impact of the Graphic Memoir <i>My Degeneration: A Journey Through Parkinson’s</i> on Patients With Parkinson’s Disease: A Mixed Methods Study Open
Participants who liked the book-the "endorsers"-revealed that it deeply resonated with them and helped them realize they were not alone with the disease. Many commented that Dunlap-Shohl's story was in some ways their story-and that this w…
View article: What is the purpose? Practitioners' perspectives of the Safe System approach to road safety in Australia
What is the purpose? Practitioners' perspectives of the Safe System approach to road safety in Australia Open
The Safe System approach is a commonly adopted approach internationally to address road traffic injuries. Existing research has identified that the approach has multiple descriptions, and there have been noted difficulties associated with …
View article: Feasibility and Acceptability of a Novel Intensive Care Unit Communication Intervention (“Let’s Talk”) and Initial Assessment Using the Multiple Goals Theory of Communication
Feasibility and Acceptability of a Novel Intensive Care Unit Communication Intervention (“Let’s Talk”) and Initial Assessment Using the Multiple Goals Theory of Communication Open
Background: Family members of intensive care unit (ICU) patients often report poor communication, feeling unprepared for ICU family meetings, and poor psychological outcomes after decision-making. The objective of this study was to create …
View article: The Ukraine War and Northeast Asia
The Ukraine War and Northeast Asia Open
The Ukraine War and Northeast Asia Michael J. Green (bio) If we have learned anything about the international relations of Northeast Asia since the end of the Cold War, it is that exogenous shocks to the system can be highly disruptive to …
View article: Table S4 from Enhanced Fatty Acid Scavenging and Glycerophospholipid Metabolism Accompany Melanocyte Neoplasia Progression in Zebrafish
Table S4 from Enhanced Fatty Acid Scavenging and Glycerophospholipid Metabolism Accompany Melanocyte Neoplasia Progression in Zebrafish Open
Characteristics of established melanoma cell lines utilised in this study.
View article: Table S2 from Enhanced Fatty Acid Scavenging and Glycerophospholipid Metabolism Accompany Melanocyte Neoplasia Progression in Zebrafish
Table S2 from Enhanced Fatty Acid Scavenging and Glycerophospholipid Metabolism Accompany Melanocyte Neoplasia Progression in Zebrafish Open
From microarray analysis, genes from VGP melanocyte neoplasia whose transcripts are significantly up- or down-regulated compared to wild-type tissue that are associated with lipid metabolism and are not differentially expressed also in BRA…
View article: What Counts as a Surrogate Decision?
What Counts as a Surrogate Decision? Open
When patients lose decision-making capacity, others must make surrogate decisions on their behalf. What counts as a surrogate decision might seem self-evident. But as clinician-researchers in the field of advance care planning, we have fou…
View article: The Value of Advance Care Planning for Spokespersons of Patients With Advanced Illness
The Value of Advance Care Planning for Spokespersons of Patients With Advanced Illness Open
View article: Political views and organizational distrust affect rural residents’ willingness to share personal data for COVID-19 contact tracing: A cross-sectional survey study
Political views and organizational distrust affect rural residents’ willingness to share personal data for COVID-19 contact tracing: A cross-sectional survey study Open
Background: We aimed to examine the attitudes of Pennsylvania rural residents toward data sharing in the setting of the COVID-19 pandemic. Specifically, we were interested in better understanding their willingness to provide personal infor…
View article: Microenvironmental ammonia enhances T cell exhaustion in colorectal cancer
Microenvironmental ammonia enhances T cell exhaustion in colorectal cancer Open
View article: Conceptualization of Surrogate Decision-making Among Spokespersons for Chronically Ill Patients
Conceptualization of Surrogate Decision-making Among Spokespersons for Chronically Ill Patients Open
Importance The value of advance care planning (ACP) has been the subject of recent debate because of mixed findings. This may be, in part, because trials presume that researchers and patient spokespersons share the same understanding of th…
View article: Graphic medicine meets human anatomy: The potential role of comics in raising whole body donation awareness in Italy and beyond. A pilot study
Graphic medicine meets human anatomy: The potential role of comics in raising whole body donation awareness in Italy and beyond. A pilot study Open
Cadaver dissection has always played a fundamental role in medical education. However, especially in Italy, the topic of body donation has remained partially unknown for years. The current study analyses graphic medicine as a new possible …
View article: Intrinsic Traits Such as Personality and Decision-Making Style are Predictive of Stress in Surrogate Decision-Makers
Intrinsic Traits Such as Personality and Decision-Making Style are Predictive of Stress in Surrogate Decision-Makers Open
Introduction: Despite its prominence in psychology, little is known about how personality traits play a role in the stress experiences of surrogate decision-makers. We tested the hypothesis that intrinsic traits (personality and decision-m…
View article: Comparing two advance care planning conversation activities to motivate advance directive completion in underserved communities across the USA: The Project Talk Trial study protocol for a cluster, randomized controlled trial
Comparing two advance care planning conversation activities to motivate advance directive completion in underserved communities across the USA: The Project Talk Trial study protocol for a cluster, randomized controlled trial Open
Background Advance care planning (ACP) is a process involving conversations between patients, loved ones, and healthcare providers that consider patient preferences for the types of medical therapies received at the end of life. Underserve…
View article: Communication Quality Analysis: A User-friendly Observational Measure of Patient–Clinician Communication
Communication Quality Analysis: A User-friendly Observational Measure of Patient–Clinician Communication Open
Communication Quality Analysis (CQA) is a rigorous transcript-based coding method for assessing clinical communication quality. We compared the resource-intensive transcript-based version with a streamlined real-time version of the method …
View article: 172 Factors affecting rural residents willingness to share personal data for COVID-19 contact tracing
172 Factors affecting rural residents willingness to share personal data for COVID-19 contact tracing Open
OBJECTIVES/GOALS: The goal of this study was to examine the attitudes of central Pennsylvania rural residents toward data sharing in the setting of the COVID-19 pandemic. We determined their willingness to provide cell phone data and perso…
View article: 171 Factors affecting rural residents intentions to receive the COVID-19 vaccine
171 Factors affecting rural residents intentions to receive the COVID-19 vaccine Open
OBJECTIVES/GOALS: Vaccination for COVID-19 is a primary public health strategy to control the pandemic. In this study, we examined how various sociodemographic variables influence rural residents intentions to receive the COVID-19 vaccine.…
View article: Mining the Data: Exploring Rural Patients’ Attitudes about the Use of Their Personal Information in Research
Mining the Data: Exploring Rural Patients’ Attitudes about the Use of Their Personal Information in Research Open
Supplemental data for this article is available online at.
View article: Graphic Medicine in Graduate Medical Education
Graphic Medicine in Graduate Medical Education Open
Medical residency is a transformational journey when residents and fellows develop long-term habits, attain professional competencies, grow their professional identities, and build relationships from shared experiences. It is also often a …
View article: Does Caregiver Participation in Advance Care Planning Using a Decision Support Tool Together With Patients Reduce Caregiver Strain, Burden and Anxiety Over Time? A Post-Hoc Analysis of a Randomized Controlled Trial
Does Caregiver Participation in Advance Care Planning Using a Decision Support Tool Together With Patients Reduce Caregiver Strain, Burden and Anxiety Over Time? A Post-Hoc Analysis of a Randomized Controlled Trial Open
Context: Surrogate decision makers experience significant amounts of anxiety, burden, and strain in their role as caregivers and decision makers for loved ones. Objectives: To investigate longitudinally whether surrogate decision makers en…
View article: What Surrogates Understand (and Don’t Understand) About Patients’ Wishes After Engaging Advance Care Planning: A Qualitative Analysis
What Surrogates Understand (and Don’t Understand) About Patients’ Wishes After Engaging Advance Care Planning: A Qualitative Analysis Open
Background: The goal of advance care planning (ACP) is to improve end-of-life decision-making for patients and their spokespersons, but multiple studies have failed to show substantial or consistent benefit from ACP. Understanding how and …
View article: Potential biases when observing increased mortality risk in association with smoking cessation among older adults
Potential biases when observing increased mortality risk in association with smoking cessation among older adults Open
View article: Low Skepticism and Positive Attitudes About Advance Care Planning Among African Americans: a National, Mixed Methods Cohort Study
Low Skepticism and Positive Attitudes About Advance Care Planning Among African Americans: a National, Mixed Methods Cohort Study Open
View article: Contents
Contents Open
View article: Association of Participation in an End-of-Life Conversation Game With Advance Care Planning Behavior and Perspectives Among African American Individuals
Association of Participation in an End-of-Life Conversation Game With Advance Care Planning Behavior and Perspectives Among African American Individuals Open
Among a nationwide sample of African American individuals, the end-of-life conversation game appeared to be well received and was associated with high rates of ACP behavior. This low-cost and scalable tool may help reduce health disparitie…
View article: Tributes to Professor Oscar S. Gray
Tributes to Professor Oscar S. Gray Open
View article: Successful Use of Cidofovir in an Immunocompetent Child With Severe Adenoviral Sepsis
Successful Use of Cidofovir in an Immunocompetent Child With Severe Adenoviral Sepsis Open
Adenovirus infection is common in childhood and is generally associated with self-limited disease. Cidofovir, a viral DNA polymerase inhibitor, is used to treat adenovirus infection in select populations but is not often recommended for im…
View article: Use of a Graphic Memoir to Enhance Clinicians’ Understanding of and Empathy for Patients with Parkinson Disease
Use of a Graphic Memoir to Enhance Clinicians’ Understanding of and Empathy for Patients with Parkinson Disease Open
Clinicians who read My Degeneration gained insight into the psychosocial effects of PD on patients and their loved ones. The book helped facilitate deeper understanding of patients' experiences living with PD and fostered greater empathy a…