Journal of general internal medicine
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The importance of integrating physical and psychosocial factors in assessing frailty -health outcomes has been increasingly acknowledged, while the related evidence is lacking. We sought to investigate the associations of joint physical-psychosocial frailty with risk of premature mortality and evaluate the relative importance of individual physical and psychosocial factors. ⋯ In this cohort study of UK Biobank participants, joint physical-psychosocial frailty is significantly associated with risks of all-cause and cause-specific premature mortality, highlighting the importance to jointly assess physical and psychosocial factors in determining aging-related health.
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Prior to enrolling in medical Spanish courses, students typically acquire their Spanish skills either through formal second language education only (L2 learners) or by being exposed to Spanish during childhood at home (heritage learners). ⋯ High heritage exposure and advanced college-level study are correlated with medical Spanish proficiency, but not all students with high heritage Spanish exposure or college-level coursework are ready for Spanish-concordant care. Future work should further evaluate the proposed three-category heritage language exposure indicator with a larger sample and the effectiveness of educational activities to enhance medical Spanish proficiency for both L2 and heritage learners.
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The aim of this study was to assess changes in the accessibility and utilization of electronic health record patient portals in recent years, focusing on whether these changes occurred equitably across different racial, ethnic, and socioeconomic groups. ⋯ An increased reliance on digital healthcare technologies has increased patient portal accessibility and utilization; however, increases have not been equitable across all demographic groups with many disparities persisting or worsening.
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Chronic kidney disease (CKD) is associated with incident cognitive impairment (ICI) and disproportionately affects older adults and Black persons. ⋯ NIGMS.