Wireless Keypads - A New Classroom Technology Using Enhanced Multiple-Choice Questions

This article discusses the advantages of using wireless keypads in the Lecture/classroom. This new technology requires multiple-choice (MC) questions to mate with the keypad entry features of these devices. The format of the traditional MC response is constrained to five choices and only one best response is allowed. For this reason, we propose enhancements to the traditional MC question. This enhanced MC question allows as many as ten answers. The answers can vary in their degree of correctness and can be assigned partial credit. By combining wireless keypads and multiple-choice questions, we can readily perform both formative and summative assessments of student learning. Examples and classroom applications are presented.Comment: pdf file, 8 pages,

Constitutional Law—Due Process—Civil Commitment—Absent Treatment, a Nondangerous Mentally Ill Person Able to Survive Safely in Society Has a Constitutional Right to Release—O\u27Connor v. Donaldson, 422 U.S. 563 (1975)

Plaintiff Kenneth Donaldson, a former state mental patient, brought an action for damages under 42 U.S.C. § 19831 in federal district court against five state hospital officials alleged to have intentionally and maliciously deprived him of his constitutional right to liberty. Despite repeated efforts to secure his release, the plaintiff was confined in a Florida state mental hospital for nearly fifteen years following his civil commitment in 1957 for care, maintenance, and treatment. Although the plaintiff was provided with routine custodial care during his hospital stay, he received no psychiatric treatment for his presumed mental illness. Contending that the defendants were aware of the institution\u27s inadequate treatment program, plaintiff argued that his continued detention in the state facility without treatment violated his right to due process of law guaranteed by the fourteenth amendment. At trial, the jury assessed $28,500 compensatory and$10,000 punitive damages against Dr. J.B. O\u27Connor, the hospital superintendent, and a codefendant, plaintiff\u27s attending physician. The Court of Appeals for the Fifth Circuit affirmed, adopting the view that a person who is involuntarily civilly committed to a mental hospital has a constitutional right to receive such individual treatment as will give him a realistic opportunity to be cured or to improve his mental condition. On certiorari, the United States Supreme Court affirmed with respect to the violation of plaintiff\u27s right to liberty in the absence of treatment, but remanded to the court of appeals for evaluation of the jury instructions concerning the qualified immunity from liability afforded to state officials. Held: A nondangerous individual who is capable of surviving safely in society by himself or with the aid of willing and responsible family members or friends cannot constitutionally be confined in a mental hospital that provides no treatment beyond mere custodial care. O\u27Connor v. Donaldson, 422 U.S. 563 (1975)

Molecular mechanisms of traumatic brain injury: the missing link in management.

RIGHTS : This article is licensed under the BioMed Central licence at http://www.biomedcentral.com/about/license which is similar to the 'Creative Commons Attribution Licence'. In brief you may : copy, distribute, and display the work; make derivative works; or make commercial use of the work - under the following conditions: the original author must be given credit; for any reuse or distribution, it must be made clear to others what the license terms of this work are.Head injury is common, sometimes requires intensive care unit admission, and is associated with significant mortality and morbidity. A gap still remains in the understanding of the molecular mechanism of this condition. This review is aimed at providing a general overview of the molecular mechanisms involved in traumatic brain injury to a busy clinician. It will encompass the pathophysiology in traumatic brain injury including apoptosis, the role of molecules and genes, and a brief mention of possible pharmacological therapies

Perioperative care of a patient with stroke.

RIGHTS : This article is licensed under the BioMed Central licence at http://www.biomedcentral.com/about/license which is similar to the 'Creative Commons Attribution Licence'. In brief you may : copy, distribute, and display the work; make derivative works; or make commercial use of the work - under the following conditions: the original author must be given credit; for any reuse or distribution, it must be made clear to others what the license terms of this work are.Strokes and TIAs, with their high cumulative mortality and morbidity rates, are occurring with increasing frequency in western population 14. As such, it is vital for clinicians to provide optimal medical management in the perioperative period for those patients with this common neurological problem. This review aims to highlight the importance of the perioperative period and the stages of pre-optimization that can be taken by the multi-disciplinary team to aid this 171819. The evidence suggests that there are significant physiological advantages to early invasive monitoring and high dependency care in these complex patients. These cohort of patients are at increased risk of development of respiratory, gastrointestinal, nutritional and electrolyte disturbances so a constant vigil should be exercised in early recognition and treatment

Exploratory Analysis of Preoperative and Postoperative Risk Stratification Tools to Identify Acute Kidney and Myocardial Injury in Patients Undergoing Surgery for Chronic Subdural Haematoma.

Perioperative statistical risk stratification is widespread. Such tools inform intraoperative and postoperative care as part of the National Emergency Laparotomy Audit (NELA)1. Patients with chronic subdural haematomas (cSDH) are often elderly with significant comorbidity2. Despite this, there is a paucity of literature pertaining to risk stratification models in this cohort3. At our centre, as part of a multidisciplinary improvement initiative (the ‘Improving Care in Elderly Neurosurgery Initiative’ (ICENI)4) (Project ID:PRN7705) we demonstrated a significant association between postoperative complications and length of stay2. As a further analysis within this cohort of operated cSDH, we explore the potential of using retrospective electronic health record (EHR) data to generate prognostic statistical models for the identification of two end-organ complications (myocardial injury –troponin above the upper limit of normal and acute kidney injury (AKI) –a rise in serum creatinine of ≥ 1.5 times baseline). Outcomes were chosen based on data availability and veracity as well as clinical relevance. The integrated nature of our EHR permitted incorporation of variables reflecting intraoperative management. This enabled an exploratory analysis of models that, analogous to NELA, could be used preoperatively and updated postoperatively

The composition of cosmic rays near the Bend (10 to the 15th power eV) from a study of muons in air showers at sea level

The distribution of muons near shower cores was studied at sea level at Fermilab using the E594 neutrino detector to sample the muon with E testing 3 GeV. These data are compared with detailed Monte Carlo simulations to derive conclusions about the composition of cosmic rays near the bend in the all particle spectrum. Monte Carlo simulations generating extensive air showers (EAS) with primary energy in excess of 50 TeV are described. Each shower record contains details of the electron lateral distribution and the muon and hadron lateral distributions as a function of energy, at the observation level of 100g/cm. The number of detected electrons and muons in each case was determined by a Poisson fluctuation of the number incident. The resultant predicted distribution of muons, electrons, the rate events are compared to those observed. Preliminary results on the rate favor a heavy primary dominated cosmic ray spectrum in energy range 50 to 1000 TeV

On V_ud determination from kaon decays

The pion beta decay pi^+ -> pi^0 e^+ nu proceeds through pure weak vector hadronic currents and, therefore, the theoretical prediction for it is more reliable than for the processes with axial-vector current contribution. For example, recently the pion beta decay has been used for V_ud determination. The main aim of this letter is to point that kaon beta decay K^0 -> K^+(pi^+ pi^0) e^- nu-bar analogously can be used for this purpose.Comment: 3 pages, no figures, one reference adde

Study of muons near shower cores at sea level using the E594 neutrino detector

The E594 neutrino detector has been used to study the lateral distribution of muons of energy 3 GeV near shower cores. The detector consists of a 340 ton fine grain calorimeter with 400,000 cells of flash chamber and dimensions of 3.7 m x 20 m x 3.7 m (height). The average density in the calorimeter is 1.4 gm/sq cm, and the average Z is 21. The detector was triggered by four 0.6 sq m scintillators placed immediately on the top of the calorimeter. The trigger required at least two of these four counters. The accompanying extensive air showers (EAS) was sampled by 14 scintillation counters located up to 15 m from the calorimeter. Several off line cuts have been applied to the data. Demanding five particles in at least two of the trigger detectors, a total of 20 particles in all of them together, and an arrival angle for the shower 450 deg reduced the data sample to 11053 events. Of these in 4869 cases, a computer algorithm found at least three muons in the calorimeter

Observation of Parity Violation in the Omega-minus -> Lambda + K-minus Decay

The alpha decay parameter in the process Omega-minus -> Lambda + K-minus has been measured from a sample of 4.50 million unpolarized Omega-minus decays recorded by the HyperCP (E871) experiment at Fermilab and found to be [1.78 +/- 0.19(stat) +/- 0.16(syst)]{\times}10^{-2}. This is the first unambiguous evidence for a nonzero alpha decay parameter, and hence parity violation, in the Omega-minus -> Lambda + K-minus decay.Comment: 10 pages, 7 figure

Proposed New Antiproton Experiments at Fermilab

Fermilab operates the world's most intense source of antiprotons. Recently various experiments have been proposed that can use those antiprotons either parasitically during Tevatron Collider running or after the Tevatron Collider finishes in about 2010. We discuss the physics goals and prospects of the proposed experiments.Comment: 6 pages, 2 figures, to appear in Proceedings of IXth International Conference on Low Energy Antiproton Physics (LEAP'08), Vienna, Austria, September 16 to 19, 200