When Your Only Tool Is a Hammer, Everything Looks Like a Nail In this issue, Burnett and Chesher describe how they applied tools developed for continuous quality improvement (CQI) to reduce the risk of sharps injuries in their hospital.1 They charted the number of syringes received in the lab with the needle still attached, then contacted the medical officers involved in these instances to dete...

heterogeneity of calcium activity and mechanical function in the canine left ventricle. Am J Physiol Heart Circ Physiol 2004;286:H1471–H1479. 36. Angeja BG, Grossman W. Evaluation and management of diastolic heart failure. Circulation 2003;107:659–663. 37. Redfield MM, Jacobsen SJ, Burnett JC Jr, Mahoney DW, Bailey KR, Rodeheffer RJ. Burden of systolic and diastolic ventricular dysfunction in t...

1. Cluttering is a fluency disorder characterized by a rate that is perceived to be abnormally rapid, irregular, or both for the speaker, and... a. This rate problem causes one or more of the following: b. An excessive number of disfluencies c. The frequent placement of pauses and odd prosodic patterns d. Inappropriate/excessive degree of coarticulation, especially in multisyllabic words e. (St...

Using assessments to provide program-level accountability and to guide improvement is growing. The most notable and unprecedented example is the Head Start National Reporting System (NRS). Extensive controversy has broken out within the Head Start community and the early childhood field regarding what the NRS assesses (National Head Start Association, 2004; Meisels & Atkins-Burnett, 2004; Gover...

Inflation and oesophageal pressures were recorded simultaneously during bag and mask resuscitation of 9 asphyxiated babies. After half a minute of standard inflation pressures, higher pressures were applied for at least 5 inflations by occluding the blow-off valve. No air entered the oesophagus until a high mean inflation pressure of 5.4 kPa was exceeded. These findings were confirmed in 4 fres...

The modulus of a soil is one of the most difficult soil parameters to estimate because it depends on so many factors. Therefore when one says for example:”The modulus of this soil is 10,000 kPa”, one should immediately ask: “What are the conditions associated with this number?” The following is a background on some of the important influencing factors for soil moduli. It is not meant to be a th...

High intensity focused ultrasound in air may provide a means for medical and biological imaging without direct coupling of an ultrasound probe. In this study, an approach based on highly focused ultrasound in air is described and the feasibility of the technique is assessed. The overall method is based on the observations that (1) ultrasound in air has superior focusing ability and stronger non...