221 Matching Annotations
  1. Nov 2018
    1. Davis and col-leagues (3) provide useful new data that enhance our un-derstanding of the effects of hospitalists on health sys-tems. In their study of a voluntary hospitalist system at alarge rural nonteaching hospital in Mississippi, theyfound that patients cared for by hospitalists had adjustedhospital stays that were 25% shorter, and costs that were12% less, than patients cared for by nonhospitalist inter-nists. For patients in the highest severity group, these sav-ings were even greater. Annualized, the authors extrapo-late that the hospitalists would have saved $2.5 millionhad they cared for all of the internists’ patients. As withprior studies that found similar reductions in resourceuse (4 –7), these substantial savings were achieved with-out diminishing quality or patient satisfaction. Nor wasthere evidence of cost shifting: hospitalists’ patients wereno less likely to be discharged to home (instead of anotherinstitution such as a skilled nursing facility) than werepatients of primary care internists. We can now state withconsiderable confidence that hospitalists markedly de-crease inpatient costs and lengths of stay with no compro-mise in quality or patient satisfaction.
    1. EXERCISE AND ENVIRONMENT AS AN INTERVENTION FOR NEONATALALCOHOL EFFECTS ON HIPPOCAMPAL ADULT NEUROGENESIS ANDLEARNING

      This article discusses the effects of fetal alcohol exposure in adult learning by studying the effects of exercises that stimulates the hippo-campus in the adult rats that were effected by fetal alcohol exposure. The study is entirely based on the scientific research of the neurology of the participants, but provides a course of action that could be applied to human participants as well. The encouraging results indicated that partial restoration of neurological functions in the adult rats was achieved. This inspires hope of introducing exercise to human participants and warrants further exploration of the application to humans since this is not an invasive therapy with low risk to participants. This may also provide some educational changes in special education to include exercise as part of the classroom experience.

      RATING: 5/10

    1. LESSLEARNING,MORE OFTEN:THE IMPACT OF SPACINGEFFECTINAN ADULTE-LEARNINGENVIRONMENTl

      Spacing effect. of training explores the retention of learning over short and long intervals of learning, particularly in hybrid and distance learning.<br> The study was based on prior studies regarding training and retention and integrated data from the learning management system used by the participants. The study resulted in finding that smaller , more frequent learning over time appears to be more effective than the traditional presentation of mass learning. The study also concluded that much of the time participants spent in learning pertained to language acquisition of foreign language learners and/or new vocabulary.<br> It is also noted that the participants were engaged in learning to support workplace goals, which leads to highly motivated participants.

      RATING 10/10

  2. Jun 2018
    1. In his work on generative effects, Adam restricts his attention to maps that preservemeets, even while they do not preserve joins. The preservation of meets implies that themapbehaves well when restricting to a subsystem, even if it can throw up surpriseswhen joining systems
  3. Apr 2018
    1. you can’t keep turning round in one place like a horse grinding sugar cane.

      This simile takes up the theme suggested by the previous figurative device; here, though, the horse serves as the power source and walks in a tight radius around a central grinding apparatus in which raw cane is pushed in from the top lengthwise and the pressed out juice is collected in a tub. Likening Janie now to a beast of burden accentuates the suggestion that she has been taken advantage of ("worked") by Tea Cake.

    2. The train beat on itself and danced on the shiny steel rails mile after mile. Every now and then the engineer would play on his whistle for the people in the towns he passed by. And the train shuffled on to Jacksonville, and to a whole lot of things she wanted to see and to know.

      The personification of the train serves to suggest that Janie, in following her heart--leaving Eatonville and marrying Tea Cake--is in touch with her self, her humanity, for the first time in her life.

    3. He leaned on the counter with one elbow and cold-cocked her a look.

      The implied metaphor relates to pugilism. tenor: permitted Janie to see an expression that revealed his interest in her vehicle: a punch ground: a blow delivered with enough force to knock a fighter unconscious

    4. Lemme know when dat ole pee-de-bed is gone and Ah’ll be right back.”

      Hilarious country euphemism/implied metaphor: tenor: Ike Green vehicle: an old, incontinent person ground: one who lacks fundamental control of bodily functions and is therefore rendered helplessly childlike.

    5. She wasn’t petal-open anymore with him.

      An interesting and evocative image and implied metaphor. The tenor is Janie's willingness to be vulnerable, emotionally and physically, with Joe; the vehicle is a flower; the ground, is a living thing's natural inclination (you could say the biological imperative) for making available its innermost self, its essence, in order to foster growth and/or reproduction. The implied image of the woman's labia as the petals of a flower is relatively obvious.

    6. Ah knowed you would going tuh crawl up in dat holler! But Ah aims tuh smoke yuh right out.

      Two implied metaphors in quick succession: tenor: choose a position (here, in a debate) vehicle: crawl up in a hollow (as in the mountains) ground: a narrow and protected position that is well-guarded but is nonetheless difficult to retreat from tenor: effectively refute Sam's argumentative position vehicle: smoke you right out ground: to force an animal (or person) from a protected position by denying access to oxygen and thereby threatening their life

    7. It was just a handle to wind up the tongue with.

      The implied metaphor relates to bringing up water from a well; here, the suggestion is that the verbal irony exhibited in the tone of whomever opens a remark with "Our beloved mayor," invited anyone in the vicinity to gather (as around a well, water being the primary source of life sustenance in any community) and speak ill of Jody.

  4. Jan 2018
  5. doc-0o-c0-docs.googleusercontent.com doc-0o-c0-docs.googleusercontent.com
    1. If we allow this opportunity-creating technologythe freedom and openness it needs to reach its full potential

      Beginning of list of ideas/dreams/hopes for what net neutrality will facilitate.

    2. provided a framework under which business could do its job of building and managing this great communications enterprise—making handsome profits in the process—while operating within a public policyframework giving them certaintyand giving consumers the protections theyneeded and deserved.

      Net neutrality good for both customers and companies

    3. Allowing gigantic corporations—in manycases, monopolyor duopoly broadband Internet access service providers—to exercise unfettered control over Americans’ access to the Internet not only creates risks to technological innovation and economic growth, but it poses a real threat to freedom of speech and the future of our democracy.

      Potential risks of no net neutrality.

  6. May 2017
    1. RESULTS: After adjustment for potential confounders, use of azithromycin (adjusted odds ratio [OR] 1.65, 95% confidence interval [CI] 1.34–2.02; 110 exposed cases), clarithromycin (adjusted OR 2.35, 95% CI 1.90–2.91; 111 exposed cases), metronidazole (adjusted OR 1.70, 95% CI 1.27–2.26; 53 exposed cases), sulfonamides (adjusted OR 2.01, 95% CI 1.36–2.97; 30 exposed cases), tetracyclines (adjusted OR 2.59, 95% CI 1.97–3.41; 67 exposed cases) and quinolones (adjusted OR 2.72, 95% CI 2.27–3.27; 160 exposed cases) was associated with an increased risk of spontaneous abortion.

      This shows between a 65% to 272% increased risk of miscarriage from use of common antibiotics.

      The risk is being characterized as "small' - http://www.cnn.com/2017/05/01/health/antibiotics-miscarriage-study/

      I'm not sure any pregnant woman would characterize more than doubling of the risk as small, and we can assume that if this data was shown for a natural substance, it would be characterized differently.

    1. Mr. Russell, or some version of him, assays the role with a weird, disrupting digital face-lift that’s meant to suggest the young Ego, but really only makes you contemplate whether this Benjamin Button-style age-reversing is going to become an increasingly standard (and creepy) industry practice.

      So, in Ant Man, there is the same thing with Michael Douglas. I totally think it will be a common thing. Not just for flashbacks but for actors who want to play the role "younger."

  7. Aug 2016
  8. Jul 2016
    1. Sẽ làm cộng tác viên/ cuối tuần về VR. Để kiếm sống, làm tiếp lái xe tự động/ hệ trợ lái

  9. Apr 2016
    1. In Switzerland, one of my recent ancestors was functionally illiterate. Because of this, she “signed away” most of her wealth. Down the line, I’m one of her very few heirs. So, in a way, I lost part of my inheritance due to illiteracy.

      Explained further in the screencast. My paternal grandfather’s mother came from a well-to-do Schneider family and was a devout Christian, but she “read” the Bible upside-down, according to my paternal grandmother.