'Fast and Frugal Heuristics': Clinical decision making in the Emergency Department

Advanced practice roles involve a number of clinical decisions including assessment, prescribing, referring and discharging patients (Appendix 3). The Advanced Nurse Practitioner (ANP) role requires the nurse to be an autonomous independent practitioner. The ANP utilises advanced clinical nursing knowledge and critical thinking skills to independently provide optimum patient care through caseload management of acute injuries and illness within the Emergency Department (ED). Therefore the ANP in the ED is faced with clinical decision making challenges on a daily basis

A retrospective comparison of intrathecal morphine and epidural hydromorphone for analgesia following posterior spinal fusion in adolescents with idiopathic scoliosis

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135580/1/pan13037.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/135580/2/pan13037_am.pd

Discrete phase space based on finite fields

The original Wigner function provides a way of representing in phase space the quantum states of systems with continuous degrees of freedom. Wigner functions have also been developed for discrete quantum systems, one popular version being defined on a 2N x 2N discrete phase space for a system with N orthogonal states. Here we investigate an alternative class of discrete Wigner functions, in which the field of real numbers that labels the axes of continuous phase space is replaced by a finite field having N elements. There exists such a field if and only if N is a power of a prime; so our formulation can be applied directly only to systems for which the state-space dimension takes such a value. Though this condition may seem limiting, we note that any quantum computer based on qubits meets the condition and can thus be accommodated within our scheme. The geometry of our N x N phase space also leads naturally to a method of constructing a complete set of N+1 mutually unbiased bases for the state space.Comment: 60 pages; minor corrections and additional references in v2 and v3; improved historical introduction in v4; references to quantum error correction in v5; v6 corrects the value quoted for the number of similarity classes for N=

Continuous Lidocaine Infusions to Manage Opioid‐Refractory Pain in a Series of Cancer Patients in a Pediatric Hospital

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/134501/1/pbc25870.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/134501/2/pbc25870_am.pd

An analysis of three curriculum approaches to teaching English in public-sector schools

This article explores three current, influential English language teaching (ELT) curriculum approaches to the teaching of English in public-sector schools at the primary and secondary level and how the theory of each approach translates into curriculum practice. These approaches are communicative language teaching (CLT), genre-based pedagogy, and content and language integrated learning (CLIL). For consistency across approaches, the theoretical underpinnings of each will be briefly described according to a matrix of curriculum factors including: • the view of language and language acquisition underlying the approach • how learners' needs are construed • the nature of the content and materials • the teacher's role • the context • how language is assessed This is followed by a discussion of research on how each approach is implemented in primary and secondary contexts, the extent to which the theory is put into practice and factors that influence its success in the classroom. Implications for the future of curriculum development in ELT will be discussed. These implications address the viability of CLT in primary and secondary schools, the role of knowledge about language in curriculum implementation, and teacher roles and identity

Evaluation of the genus Thiothrix Winogradsky 1888 (Approved Lists 1980) emend. Aruga et al. 2002: reclassification of Thiothrix disciformis to Thiolinea disciformis gen. nov., comb. nov., and of Thiothrix flexilis to Thiofilum flexile gen. nov., comb nov., with emended description of Thiothrix.

Thiothrix is the type genus of the Thiotrichaceae in the Thiotrichales of the 21 Gammaproteobacteria, comprising nine species of sulfur-oxidising filamentous Bacteria, 22 which are variously autotrophic, heterotrophic or have mixed metabolic modes. Within the 23 genus, 4 species show 16S rRNA gene identities lower the Yarza threshold for the rank of 24 genus (94.5 %) – Thiothrix disciformis, Thiothrix flexilis, Thiothrix defluvii and Thiothrix 25 eikelboomii – as they show no affiliation to extant genera, a polyphasic study was undertaken 26 including biochemical, physiological and genomic properties and phylogeny based on the 27 16S rRNA gene (rrs), recombination protein A (RecA), polynucleotide nucleotidyltransferase 28 (Pnp), translation initiation factor IF-2 (InfB), glyceraldehyde-3-phosphate dehydrogenase 29 (GapA), glutaminyl-tRNA synthetase (GlnS), elongation factor EF-G (FusA) and 30 concatamers of 53 ribosomal proteins encoded by rps, rpl and rpm operons, all of which 31 support the reclassification of these species. We thus propose Thiolinea gen. nov. and 32 Thiofilum gen. nov. for which the type species are Thiolinea disciformis gen. nov., comb. 33 nov. and Thiofilum flexile gen. nov., comb. nov. We also propose that these genera are each 34 circumscribed into novel families Thiolinaceae fam. nov. and Thiofilaceae fam. nov., and 35 that Leucothrix and Cocleimonas are circumscribed into Leucotrichaceae fam. nov. and 36 provide emended descriptions of Thiothrix and Thiotrichaceae

The James Webb Space Telescope Mission

Twenty-six years ago a small committee report, building on earlier studies, expounded a compelling and poetic vision for the future of astronomy, calling for an infrared-optimized space telescope with an aperture of at least $4m$. With the support of their governments in the US, Europe, and Canada, 20,000 people realized that vision as the $6.5m$ James Webb Space Telescope. A generation of astronomers will celebrate their accomplishments for the life of the mission, potentially as long as 20 years, and beyond. This report and the scientific discoveries that follow are extended thank-you notes to the 20,000 team members. The telescope is working perfectly, with much better image quality than expected. In this and accompanying papers, we give a brief history, describe the observatory, outline its objectives and current observing program, and discuss the inventions and people who made it possible. We cite detailed reports on the design and the measured performance on orbit.Comment: Accepted by PASP for the special issue on The James Webb Space Telescope Overview, 29 pages, 4 figure