Geographic Variation in Informed Consent Law: Two Standards for Disclosure of Treatment Risks

We analyzed 714 jury verdicts in informed consent cases tried in 25 states in 1985–2002 to determine whether the applicable standard of care (“patient” vs. “professional” standard) affected the outcome. Verdicts for plaintiffs were significantly more frequent in states with a patient standard than in states with a professional standard (27 percent vs. 17 percent, P = 0.02). This difference in outcomes did not hold for other types of medical malpractice litigation (36 percent vs. 37 percent, P = 0.8). The multivariate odds of a plaintiff’s verdict were more than twice as high in states with a patient standard than in states with a professional standard (odds ratio = 2.15, 95% confidence interval = 1.32–3.50). The law’s expectations of clinicians with respect to risk disclosure appear to vary geographically

A new approach to measuring drinking cultures in Britain

First paragraph: When governments propose changes to alcohol policies, the announcement is often followed by public debate on the potential for the policy to change the country’s drinking culture. However, specifying what the drinking culture is, what is problematic about it, what it should be changed to, what interventions might trigger such a change and whether success has been achieved have all been problematic topics in alcohol policy discourse and the research literature

Does a neutral thermal sensation determine thermal comfort?

The neutral thermal sensation (neither cold, nor hot) is widely used through the application of the ASHRAE seven-point thermal sensation scale to assess thermal comfort. This study investigated the application of the neutral thermal sensation and it questions the reliability of any study that solely relies on neutral thermal sensation. Although thermal-neutrality has already been questioned, still most thermal comfort studies only use this measure to assess thermal comfort of the occupants. In this study, the connection of the occupant’s thermal comfort with thermal-neutrality was investigated in two separate contexts of Norwegian and British offices. Overall, the thermal environment of four office buildings was evaluated and 313 responses (three times a day) to thermal sensation, thermal preference, comfort, and satisfaction were recorded. The results suggested that 36% of the occupants did not want to feel neutral and they considered thermal sensations other than neutral as their comfort condition. Also, in order to feel comfortable, respondents reported wanting to feel different thermal sensations at different times of the day suggesting that occupant desire for thermal comfort conditions may not be as steady as anticipated. This study recommends that other measures are required to assess human thermal comfort, such as thermal preference

Effect of Celluclast 1.5L on the Physicochemical Characterization of Gold Kiwifruit Pectin

The effects of Celluclast 1.5L concentration on the physicochemical characterization of gold kiwifruit pectin was evaluated. Varying the enzyme concentration affected the pectin yield and pectin physicochemical properties. The viscosity of extracted pectin was largely dependent on the enzyme concentration. Celluclast 1.5L with medium concentration exhibited the highest viscosity. Varying the enzyme concentration also influenced the molecular weight distribution. High molecular weight (Mw) pectin (1.65 × 106 g/mol) was obtained when the medium concentration was used. Overall, the study clearly reflects the importance of taking into consideration the amount of cellulytic enzyme added in order to determine the final quality of pectin

Evaluating Tidal Marsh Sustainability in the Face of Sea-Level Rise: A Hybrid Modeling Approach Applied to San Francisco Bay

Tidal marshes will be threatened by increasing rates of sea-level rise (SLR) over the next century. Managers seek guidance on whether existing and restored marshes will be resilient under a range of potential future conditions, and on prioritizing marsh restoration and conservation activities.Building upon established models, we developed a hybrid approach that involves a mechanistic treatment of marsh accretion dynamics and incorporates spatial variation at a scale relevant for conservation and restoration decision-making. We applied this model to San Francisco Bay, using best-available elevation data and estimates of sediment supply and organic matter accumulation developed for 15 Bay subregions. Accretion models were run over 100 years for 70 combinations of starting elevation, mineral sediment, organic matter, and SLR assumptions. Results were applied spatially to evaluate eight Bay-wide climate change scenarios.Model results indicated that under a high rate of SLR (1.65 m/century), short-term restoration of diked subtidal baylands to mid marsh elevations (-0.2 m MHHW) could be achieved over the next century with sediment concentrations greater than 200 mg/L. However, suspended sediment concentrations greater than 300 mg/L would be required for 100-year mid marsh sustainability (i.e., no elevation loss). Organic matter accumulation had minimal impacts on this threshold. Bay-wide projections of marsh habitat area varied substantially, depending primarily on SLR and sediment assumptions. Across all scenarios, however, the model projected a shift in the mix of intertidal habitats, with a loss of high marsh and gains in low marsh and mudflats.Results suggest a bleak prognosis for long-term natural tidal marsh sustainability under a high-SLR scenario. To minimize marsh loss, we recommend conserving adjacent uplands for marsh migration, redistributing dredged sediment to raise elevations, and concentrating restoration efforts in sediment-rich areas. To assist land managers, we developed a web-based decision support tool (www.prbo.org/sfbayslr)

Visual recognition of gestures in a meeting to detect when documents being talked about are missing

Meetings frequently involve discussion of documents and can be significantly affected if a document is absent. An agent system capable of spontaneously retrieving a document at the point it is needed would have to judge whether a meeting is talking about a particular document and whether that document is already present. We report the exploratory application of agent techniques for making these two judgements. To obtain examples from which an agent system can learn, we first conducted a study of participants making these judgements with video recordings of meetings. We then show that interactions between hands and paper documents in meetings can be used to recognise when a document being talked about is not to hand. The work demonstrates the potential for multimodal agent systems using these techniques to learn to perform specific, discourse-level tasks during meetings

Conceptual learning : the priority for higher education

The common sense notion of learning as the all-pervasive acquisition of new behaviour and knowledge, made vivid by experience, is an incomplete characterisation, because it assumes that the learning of behaviour and the learning of knowledge are indistinguishable, and that acquisition constitutes learning without reference to transfer. A psychological level of analysis is used to argue that conceptual learning should have priority in higher education