STUDY OBJECTIVES The goal of this study was to identify publications in the medical literature that support the efficacy or value of Emergency Medicine (EM) as a medical specialty and of clinical care delivered by trained emergency physicians. In this study we use the term "value" to refer both to the "efficacy of clinical care" in terms of achieving desired patient outcomes, as well as "effici...

1 Doutorado em Estomatologia (Professor de Estomatologia). 2 Doutor em Estomatologia (Professor de Cirurgia Faculdade de Odontologia UFPB). 3 Mestre em Cirurgia Buco-Maxilo-Facial (Cirurgião Buco-Maxilo-Facial). 4Doutora em Cirurgia Buco-Maxilo-Facial (Professora Assistente Doutora, Departamento de Diagnóstico e Cirurgia UNESP Araraquara São PauloBrasil). 5Doutora em Estomatologia (Professora D...

This paper attempts to overcome the local convergence problem of the Expectation Maximization (EM) based training of the Hidden Markov Model (HMM) in speech recognition. We propose a hybrid algorithm, Simulated Annealing Stochastic version of EM (SASEM), combining Simulated Annealing with EM that reformulates the HMM estimation process using a stochastic step between the EM steps and the SA. Th...

Métodos: Dezasseis cães, todos eles diagnosticados com sarna demodécica generalizada, foram agrupados aleatoriamente em dois grupos iguais. Os comprimidos mastigáveis BravectoTM foram administrados uma vez por via oral com uma dose mínima de 25 mg fluralaner/kg de peso corporal a um grupo de cães, enquanto o segundo grupo foi tratado por via tópica em três ocasiões em intervalos de 28 dias com ...

Rapid eye movement (REM) sleep occurs throughout a relatively large proportion of early development, and normal REM activity appears to be required for healthy brain development. The eye movements (EMs) observed during REM sleep are the most distinctive characteristics of this state. EMs are used as an index of neurological function postnatally, but no specific indices of EM activity exist for ...

An unbiased conditioned place preference (CPP) paradigm was used to evaluate the reward effects of endogenous mu-opioid receptor ligands endomorphin-1 (EM-1) and endomorphin-2 (EM-2) from the mesolimbic posterior nucleus accumbens (Acb) shell and the ventral tegmental area (VTA) in CD rats. EM-1 (1.6-8.1 nmol) microinjected into posterior Acb shell produced CPP, whereas EM-2 (8.7-17.5 nmol) giv...

BACKGROUND To design and implement an emergency medicine (EM) postgraduate training curriculum to support the establishment of the first EM residency program at Addis Ababa University (AAU). METHODS In response to the Ethiopian Federal Ministry of Health mandate to develop EM services in Ethiopia, University of Toronto EM faculty were invited to develop and deliver EM content and expertise fo...

Written by the CAEP Ultrasound Position Statement Working Group (A Subcommittee of the CAEP Ultrasound Committee): Ryan J. Henneberry, BSc, MD, CCFP(EM), RDMS, Chair; Amanda Hanson, MD, FRCPC, Past Chair; Andrew Healey, MD, RDCS, RDMS, FRCPC (EM, CCM); Guy Hebert, MD, FRCPC; Urbain Ip, MD, ABEM, FACEP; Mark Mensour, MD, CCFP(EM); Pierre Mikhail, CCFP(EM), RDMS; Steve Miller, BSc, MD, CCFP(EM), ...

Early mortality (EM; death ≤ 6 months from diagnosis) has been reported in several newly diagnosed multiple myeloma (NDMM) trials. Before the era of novel agents, the incidence was 10%-14%. Causes of death included infections/pneumonia, renal failure, refractory disease, and cardiac events. Staging systems, such as the revised International Staging System (r-ISS), and prognostic factors includi...