The influence of early questions on learning from text

In this research we explored the use of short-answer questions to improve learning from chapter-like texts (3395 words). Experiment 1 investigated the influence of pre-questions on recall from a text passage when tested a week later; two question sets were counterbalanced within the experimental group. Participants with pre-questions scored higher both overall (d = 3.6, 95%CI [2.4, 4.8]) and on novel questions (d = 2.0 [1.6, 2.4]). In Experiment 2, questions were made available immediately after studying the text either alongside the text, open-book, or closed-book with the opportunity to check answers, or not at all with additional study time. Learning was tested after a week. Although the immediate test scores were substantially higher for open- than closed-book tests, week-delayed performance on the same items was much worse for open-book tests and was moderately improved for closed-book tests. For seen questions, closed-book tests led to better delayed recall than did open-book tests, d = 0.7 [0.02, 1.5]. For novel questions, observed differences were small; ds = .2 [-0.6, 0.9] for both comparisons

Scheme Independence and the Exact Renormalization Group

We compute critical exponents in a $Z_2$ symmetric scalar field theory in three dimensions, using Wilson's exact renormalization group equations expanded in powers of derivatives. A nontrivial relation between these exponents is confirmed explicitly at the first two orders in the derivative expansion. At leading order all our results are cutoff independent, while at next-to-leading order they are not, and the determination of critical exponents becomes ambiguous. We discuss the possible ways in which this scheme ambiguity might be resolved.Comment: 15 pages, TeX with harvmac, 2 figures in compressed postscript; presentation of first section revised, several minor errors corrected, two references adde

Individual Nurse Productivity in Preparing Patients for Discharge Is Associated with Patient Likelihood of 30-Day Return to Hospital

Objective: Applied to value-based health care, the economic term “individual productivity” refers to the quality of an outcome attributable through a care process to an individual clinician. This study aimed to (1) estimate and describe the discharge preparation productivities of individual acute care nurses and (2) examine the association between the discharge preparation productivity of the discharging nurse and the patient’s likelihood of a 30-day return to hospital [readmission and emergency department (ED) visits]. Research Design: Secondary analysis of patient-nurse data from a cluster-randomized multisite study of patient discharge readiness and readmission. Patients reported discharge readiness scores; postdischarge outcomes and other variables were extracted from electronic health records. Using the structure-process-outcomes model, we viewed patient readiness for hospital discharge as a proximal outcome of the discharge preparation process and used it to measure nurse productivity in discharge preparation. We viewed hospital return as a distal outcome sensitive to discharge preparation care. Multilevel regression analyses used a split-sample approach and adjusted for patient characteristics. Subjects: A total 522 nurses and 29,986 adult (18+ y) patients discharged to home from 31 geographically diverse medical-surgical units between June 15, 2015 and November 30, 2016. Measures: Patient discharge readiness was measured using the 8-item short form of Readiness for Hospital Discharge Scale (RHDS). A 30-day hospital return was a categorical variable for an inpatient readmission or an ED visit, versus no hospital return. Results: Variability in individual nurse productivity explained 9.07% of variance in patient discharge readiness scores. Nurse productivity was negatively associated with the likelihood of a readmission (−0.48 absolute percentage points, P\u3c0.001) and an ED visit (−0.29 absolute percentage points, P=0.042). Conclusions: Variability in individual clinician productivity can have implications for acute care quality patient outcomes

Proglacial erosion rates and processes in a glacierized catchment in the Swiss Alps

In the Swiss Alps, climatic changes have not only caused glacier retreat, but also likely increased sedimentation downstream of glaciers. This material either originates from below the glacier or from periglacial environments, which are exposed as glaciers retreat, and often consist of easily erodible sediment. Griesgletscher's catchment in the Swiss Alps was examined to quantify erosion in the proglacial area, possible hydrological drivers and contributions of the sub- and periglacial sources. Digital elevation models, created from annual aerial photographs, were subtracted to determine annual volume changes in the proglacial area from 1986 to 2014. These data show a strong increase in proglacial erosion in the decade prior to 2012, coincident with increasing proglacial area size. However, examination of the gradient between discharge and sediment evacuation, and modeled sediment transport, could suggest that the proglacial area began to stabilize and sediment supply is limited. The large influx of sediment into the proglacial reservoir, which is roughly 2.5 times greater than the amount of sediment eroded from the proglacial area, demonstrates the importance of subglacial erosion to the catchment's sediment budget. Although far more sediment originates subglacially, erosion rates in the proglacial area are over 50 times greater than the rest of the catchment. In turn, both sub- and periglacial processes, in addition to constraining sediment supply, must be considered for assessing future sediment dynamics as glacier area shrinks and proglacial areas grow

Supersymmetry and Gauge Invariance Constraints in a U(1)×\times U(1)′^{\prime }-Higgs Superconducting Cosmic String Model

A supersymmetric extension of the $U(1)\times U(1)^{\prime }$-Higgs bosonic superconducting cosmic string model is considered,and the constraints imposed upon such a model due to renormalizability, supersymmetry, and gauge invariance are examined. For a simple model with a single $U(1)$ chiral superfield and a single $$ chiral superfield, the Witten mechanism for bosonic superconductivity (giving rise to long range gauge fields outside of the string) does not exist. The simplest model that can accommodate the requisite interactions requires five chiral supermultiplets. This superconducting cosmic string solution is investigated.Comment: 17 pages, revtex, no figures; to appear in Phys. Rev.

Timing and Amount of Physical Therapy Treatment are Associated with Length of Stay in the Cardiothoracic ICU

Significant variability exists in physical therapy early mobilization practice. The frequency of physical therapy or early mobilization of patients in the cardiothoracic intensive care unit and its effect on length of stay has not been investigated. The goal of our research was to examine variables that influence physical therapy evaluation and treatment in the intensive care unit using a retrospective chart review. Patients (n = 2568) were categorized and compared based on the most common diagnoses or surgical procedures. Multivariate semi-logarithmic regression analyses were used to determine correlations. Differences among patient subgroups for all independent variables other than age and for length of stay were found. The regression model determined that time to first physical therapy evaluation, Charlson Comorbidity Index score, mean days of physical therapy treatment and mechanical ventilation were associated with increased hospital length of stay. Time to first physical therapy evaluation in the intensive care unit and the hospital, and mean days of physical therapy treatment associated with hospital length of stay. Further prospective study is required to determine whether shortening time to physical therapy evaluation and treatment in a cardiothoracic intensive care unit could influence length of stay