1,720 research outputs found

    End-of-Life Care: How Polst Forms Can Fix a Broken System

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    End-of-Life Care: How Polst Forms Can Fix a Broken System

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    Effect of Vapocoolant on Pain During Peripheral Intravenous Cannulation

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    Methods Data Sources The Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, Literatura Latino Americana em Ciencias da Saude, Cumulative Index to Nursing and Allied Health Literature, and ISI Web of Science were searched from inception to May 2015 without language restriction. Trial registries were searched, including clinicaltrials.gov, controlled-trials.com, and trialscentral.org. Additionally, the authors hand searched the references of retrieved articles and abstracts of the American Society of Anesthesiologists. Study Selection This review included all randomized controlled trials comparing vapocoolant to placebo or no treatment for analgesia associated with intravenous cannulation. Studies of adults, children, and healthy volunteers were eligible. Titles and abstracts were reviewed by at least 2 authors, and potentially relevant studies underwent full text review. Discrepancies in study selection were resolved by consensus. Data Extraction and Synthesis Three authors independently extracted data, using a standardized data extraction form. Discrepancies in extracted data were resolved by consensus. Studies were assessed as low, unclear, or high risk of bias in each of 6 domains: random sequence generation, allocation concealment, blinding of participants and personnel, blinding of outcome assessors, incomplete outcome data, and selective reporting. Data reported on a 100-point visual analog scale (VAS) were reported as mean difference. When data were measured with different scales, they were combined with standardized mean difference. A fixed-effect model was used when the I2 statistic was less than 40%; otherwise, a random-effects model was used

    Scale Determination Using the Static Potential with Two Dynamical Quark Flavors

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    We study the static potential using gauge configurations that include the effects of two flavors of dynamical Kogut-Susskind quarks. The configurations, generated by the MILC collaboration, and used to study the spectrum and heavy-light decay constants, cover a range 5.3≤6/g2≤5.65.3 \le 6/g^2 \le 5.6. There are at least four quark masses for each coupling studied. Determination of r0r_0 from the potential can be used to set a scale. This alternative scale is useful to study systematic errors on the spectrum and decay constants.Comment: LATTICE99(spectrum) - 3 pages, 4 figure

    DecisioNet: A Binary-Tree Structured Neural Network

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    Deep neural networks (DNNs) and decision trees (DTs) are both state-of-the-art classifiers. DNNs perform well due to their representational learning capabilities, while DTs are computationally efficient as they perform inference along one route (root-to-leaf) that is dependent on the input data. In this paper, we present DecisioNet (DN), a binary-tree structured neural network. We propose a systematic way to convert an existing DNN into a DN to create a lightweight version of the original model. DecisioNet takes the best of both worlds - it uses neural modules to perform representational learning and utilizes its tree structure to perform only a portion of the computations. We evaluate various DN architectures, along with their corresponding baseline models on the FashionMNIST, CIFAR10, and CIFAR100 datasets. We show that the DN variants achieve similar accuracy while significantly reducing the computational cost of the original network.Comment: We are happy to announce that the paper has been accepted to the ACCV2022 conference. The final version of the paper will be published soon. In the meantime, we are finally able to share the code (link below

    A review of the health impact of smoking control at the workplace

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    Purpose. To summarize and provide a critical review of worksite health promotion program evaluations published between 1968 and 1994 that addressed the health impact of worksite smoking cessation programs and smoking policies. Methods. A comprehensive literature search conducted under the auspices of the Centers for Disease Control and Prevention identified 53 smoking cessation program evaluation reports, of which 41 covered worksite single-topic cessation programs. Nine additional reports were located through manual search of citations from published reports and reviews. These 50 reports covered 52 original data-based studies of cessation programs. The search produced 19 reports for tobacco policy evaluations, of which 12 addressed health impact. An additional 17 reports were located by the authors. These 29 reports covered 29 studies of policy impact. Summary of Important Findings. Smoking cessation group programs were found to be more effective than minimal treatment programs, although less intensive treatment, when combined with high participation rates, can influence the total population. Tobacco policies were found to reduce cigarette consumption at work and worksite environmental tobacco smoke (RTS) exposure. Conclusions. The literature is rated suggestive for group and incentive interventions; indicative for minimal interventions, competitions, and medical interventions; and acceptable for the testing of incremental effects. Because of the lack of experimental control, the smoking policy literature is rated as weak, although there is strong consistency in results for reduced cigarette consumption and decreased exposure to ETS at work. (Am J Health Promot 1998;13[2]:83-104.

    Curated Collections for Educators: Eight Key Papers about Feedback in Medical Education

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    Feedback is an essential part of learning, growth, and academic success. Junior faculty members are often unfamiliar with the grounding literature that defines feedback. Many times they receive little education on providing and receiving feedback, resulting in unhelpful "feedback" for both learners and program leadership alike. This article aims to summarize eight key papers on feedback, to outline relevant information for emerging clinician educators, and identify ways to use these resources for the faculty development. In order to generate a list of key papers that describes the importance and significance of feedback, the authors conducted a consensus-building process to identify the top papers. In August and September, 2018, the 2018-2019 Academic Life in Emergency Medicine (ALiEM) Faculty Incubator program discussed the topic of feedback in medical education. A number of papers on the topic was highlighted. This list of papers was further augmented using the suggestions and expertise of guest experts who are leaders in the field of medical education and feedback. The authors also used social media to conduct an open call on Twitter for important papers regarding feedback (utilizing #meded, #Feedback hashtags). Via this process, a list of 88 key papers was identified on the topic of feedback in medical education. After compiling these papers, the authorship group engaged in a modified Delphi approach to build consensus on the top eight papers on feedback. These papers were deemed essential by the authors and have been summarized with respect to their relevance to junior faculty members and to faculty developers. In this manuscript, we present eight key papers addressing feedback in medical education with discussions and applications for junior faculty members and faculty developers. This list of articles that can serve to help junior clinician educators grow in their ability to give effective feedback and also serve as resources upon which senior faculty can design the faculty development sessions

    Academic Primer Series: Five Key Papers for Consulting Clinician Educators.

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    INTRODUCTION: Clinician educators are often asked to perform consultations for colleagues. Invitations to consult and advise others on local problems can help foster great collaborations between centers, and allows for an exchange of ideas between programs. In this article, the authors identify and summarize several key papers to assist emerging clinician educators with the consultation process. METHODS: A consensus-building process was used to generate a list of key papers that describe the importance and significance of educational consulting, informed by social media sources. A three-round voting methodology, akin to a Delphi study, determined the most impactful papers from the larger list. RESULTS: Summaries of the five most highly rated papers on education consultation are presented in this paper. These papers were determined by a mixed group of junior and senior faculty members, who have summarized these papers with respect to their relevance for their peer groups. CONCLUSION: Five key papers on the educational consultation process are presented in this paper. These papers offer background and perspective to help junior faculty gain a grasp of consultation processes
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