منابع مشابه
Fumbled handoffs: one dropped ball after another.
Missed follow-up of abnormal test results and resultant delays in diagnosis is a safety issue that is gaining increasing attention. Despite increases in the numbers and types of available diagnostic tests, current systems in health care do not reliably ensure that test results are received and acted upon by ordering physicians. This article examines the case of a patient whose diagnosis of tube...
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Fundamental problems remain with evidence-based management. We argue that, rather than being addressed, these problems are treated as digressions. One explanation for this is an ongoing incoherence: the evidence-based approach relegates narrative to a ghetto category of knowledge, but it is itself a narrative. Moreover, while this narrative is becoming more polished through repetition and selec...
متن کاملRhythm control in atrial fibrillation--one setback after another.
Atrial fibrillation, the most common sustained arrhythmia observed in hospitalized patients, is associated with substantial morbidity, and its occurrence approximately doubles the rate of death as compared with that of patients in whom sinus rhythm is maintained. The global effect of atrial fibrillation on public health is so great that international professional organizations have integrated t...
متن کاملGive Me Another One!
We investigate the complexity of an optimization problem in Boolean propositional logic related to information theory: Given a conjunctive formula over a set of relations, find a satisfying assignment with minimal Hamming distance to a given assignment that satisfies the formula (NearestOtherSolution, NOSol). We present a complete classification with respect to the relations admitted in the for...
متن کاملOne thing leads to another.
In 1956, the JCI published an article by Vincent Dole on a method for titrating plasma fatty acids that uncovered the importance of fatty acids as a substrate for glucose metabolism. When asked to prepare a historical perspective on this very popular paper, I paid Dole a visit and we reminisced. His answer to my question of how he came to do this work on plasma fatty acids was: "Well, one thing...
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ژورنال
عنوان ژورنال: Science
سال: 2005
ISSN: 0036-8075,1095-9203
DOI: 10.1126/science.310.5747.409b