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<rss version="2.0"> <channel> <title>Evernote Openbook: interesting / miscellaneous</title>
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<description>Notes from nickgenes&#039;s  Evernote Openbook: interesting / miscellaneous</description> 

  
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  <item> <title>Medpage Today: ED docs using electronic tools were more likely to workup PE appropriately</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#a96726aa-d999-4f63-a84c-7df01c5f09fc</link>
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<div><a href="http://mailview.custombriefings.com/mailview.aspx?m=2009111701acep&amp;r=3558172-2d1c&amp;l=00f-630&amp;t=c" target="_blank" shape="rect">MedPage Today</a> (11/16, Smith) reported, &quot;In a study conducted in 20 emergency departments, physicians using&quot; decision-support software and hand-held computers &quot;performed an appropriate diagnostic workup for pulmonary embolism significantly more often than those using paper guidelines.&quot; During the study, published in the Annals of Internal Medicine, &quot;patients treated by doctors using the electronic tools also got fewer diagnostic tests,&quot; 1.76 versus 2.25. Although the work &quot;represents a promising start,&quot; the author of an accompanying editorial &quot;argued that getting such programs up and running often depends more on social and organizational issues than on device or software design.&quot;</div>
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    ]]></description> <pubDate>Tue, 17 Nov 2009 18:17:01 GMT</pubDate> <guid>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#a96726aa-d999-4f63-a84c-7df01c5f09fc</guid> 
  
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  <item> <title>&#039;critical but stable&#039; - Slate looks at the guidelines behind (often meaningless) patient conditions reported to the media</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#6ba22ece-ef4b-4887-933e-41f86d25ca06</link>
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<p>Most hospitals adhere to American Hospital Association guidelines when describing a patient's condition to the media. Those guidelines instruct hospital spokespersons to give out only a one-word description of a patient's condition. The recommended conditions, which are excerpted from the AHA's &quot;General Guide for the Release of Information on the Condition of Patients,&quot; are:</p>
<p>Undetermined: Patient awaiting physician and assessment.</p>
<p>Good: Vital signs are stable and within normal limits. Patient is conscious and comfortable. Indicators are excellent.</p>
<p>Fair: Vital signs are stable and within normal limits. Patient is conscious, but may be uncomfortable. Indicators are favorable.</p>
<p>Serious: Vital signs may be unstable and not within normal limits. Patient is acutely ill. Indicators are questionable.</p>
<p>Critical: Vital signs are unstable and not within normal limits. Patient may be unconscious. Indicators are unfavorable.</p>
<p>The term &quot;vital signs&quot; means indicators such as blood pressure, pulse, temperature, and respiration. The one-word descriptions are not medical terms, and they are more art than science. They're based on a doctor's best judgment of a patient's condition, as relayed to hospital spokespersons.</p>
<p>The AHA's &quot;General Guide&quot; adds: &quot;'Stable' should not be used as a condition. Furthermore, this term should not be used in combination with other conditions, which by definition often indicate a patient is unstable.&quot; (As one hospital spokesman put it, &quot;You can be dead and be stable.&quot;)</p>
<p>So how can Jessie Arbogast's condition be &quot;critical but stable&quot;?</p>
<p>Not all hospitals follow the AHA guidelines strictly. They're advisory guidelines, after all, not regulations. George Washington University Hospital in Washington, D.C., for example, uses its own definitions. GW Hospital defines critical condition as &quot;uncertain prognosis, vital signs are unstable or abnormal, there are major complications, and death may be imminent.&quot; Many hospitals use the term &quot;treated and released&quot; to describe patients who received treatment but were not adm...</p></div>
    
    ]]></description> <pubDate>Sun, 08 Nov 2009 16:07:26 GMT</pubDate> <guid>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#6ba22ece-ef4b-4887-933e-41f86d25ca06</guid> 
  
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  <item> <title>Bloomberg&#039;s NYC -- While big projects falter, smaller thoughtful buildings triumph (New York Magazine)</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#69e3beb8-df0f-4817-a605-f20a04d3b073</link>
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Stealth By Design
How the city is sneaking great little buildings into unexpected places.
<ul><li>By <a href="http://nymag.com/nymag/justin-davidson" shape="rect">Justin Davidson</a></li><li>Published Nov 1, 2009</li></ul>
<a href="http://nymag.com/arts/articles/09/10/stealthbydesign/index.html" shape="rect"></a>
<p>Photo: Jeff Goldberg/ESTO for Polshek Partnership</p>
<p>The map of Michael Bloomberg’s New York bears the scars of vast, unfinished dreams of renewal. Hudson Yards, Atlantic Yards, Coney Island, Willets Point, ground zero, Governors Island, the Gowanus Canal—all those glittering megaplans, derailed, deferred, or debased. Yet the Bloomberg administration can claim triumphs at a tiny scale: Station house by station house, library by library, the city has been doggedly smuggling high-level architecture to the neighborhoods that need it most.</p>
<p>In the Bronx, a shiny new firehouse stands out on its block of Washington Avenue like a bright plastic bucket on a rainy day. It’s not just the flame-colored aluminum façade, or the jaunty way the zinc cladding is slung across the roof, that makes it distinctive; it’s a combination of toughness, efficiency, and whimsy. Instead of the classic rowhouse with a big red door, the architects at Polshek Partnership have made Rescue Company 3 a showpiece of logistical economy, a tightly organized locker for equipment, vehicles, and men. The upper story looks as if it were hinged to the ground floor; you want to flip up the top and pop out the trucks.</p>
<p>The Fire Department has traditionally considered architecture a priority only when it’s burning down. It no longer has a choice. For decades, the trinity of quick, cheap, and ugly dominated the city’s building program. Quick was always a chimera, and cheap remains sacrosanct, but ugly won’t cut it anymore. Agencies that once indifferently crammed schoolkids, cops, low-income residents, and garbage trucks into an assortment of interchangeable brick boxes now hire brand-name architects to infuse public buildings with panache.</p>
<p>The change can be traced to the influence of David Burney, a British-born architect whom Bloomberg appointed commissioner of the Department of Design and Construction in 2004. Those few New Yorker...</p></div>
    
    ]]></description> <pubDate>Sat, 07 Nov 2009 17:34:09 GMT</pubDate> <guid>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#69e3beb8-df0f-4817-a605-f20a04d3b073</guid> 
  
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  <item> <title>Easterbrook (TMQ) on lax concussion guideline compliance in high school football</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#cc8f1638-cfaa-40eb-bf09-c7a6f710b317</link>
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<p>Loss of consciousness -- a Grade III concussion -- should mean at least a month off and no return until examined and cleared by a neurologist; often it should mean the player's season is over. That hundreds of high school players sustain a Grade III concussion and go back in the same day is shockingly irresponsible on the part of coaches and high school administrators. High school football players are, legally, children; their coaches are, legally, their temporary guardians. A grown man in the NFL might decide to take a health risk; high school coaches should be protecting children from health risks. State high school sports associations should enact concussion rules -- such as that one Grade III or two Grade II concussions always end a player's season, while anyone sustaining even a mild Grade I must sit out a week. If this were a rule, then there would be no pressure to force players back into the game or back to practice. </p>
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  <item> <title>Google Suggest reveals the public&#039;s inquiries, and maybe intelligence.  By Slate&#039;s Michael Agger</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#359ddd5f-3769-4227-801e-b9e85ba7edc6</link>
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<p>For those who don't know how Suggest works, he sums it up nicely:</p>

<p>Google doesn't reveal its search algorithms, but the company's engineers confirm that what we're looking at in [Google Suggest] is, essentially, a list of the most popular queries that start with a given prefix. (It's unclear what time period the suggestions are culled during, but a spokesman says they're generated from &quot;recent [search] activity.&quot;) A suggestion-enabled search is like an instant popularity contest. Just type in a couple of letters, and you've got access to oodles of data on what your fellow Web surfers are hunting for.</p>

<p>To wit: Google Suggest is a helpful feature. It a little sliver of the collective mind. It's also a lot of fun to mess with.</p>
<p>The Internet has lots of great examples of misfires served by Google. Here's a favorite: &quot;<a href="http://failblog.org/2009/02/10/google-suggest-fail" target="_blank" shape="rect">i am extremely terrified of chinese people</a>.&quot; But I was most impressed with this <a href="http://digg.com/comedy/Google_More_Intelligent_vs_Less_Intelligent_PIC" target="_blank" shape="rect">anonymous bit of genius</a> dug up by Digg, which uses Google for some armchair sociolinguistic analysis. The graphic compares &quot;less intelligent&quot; queries with &quot;more intelligent&quot; queries, such as &quot;how 2&quot; with &quot;how might one:&quot;</p>
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<p>vs.</p>
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<p>You can spend entire afternoons duplicating this experiment:</p>
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<p>Compared with:</p>
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<p>Grammar also seems to make a difference:</p>
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<p>vs.</p>
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<p>Perhaps &quot;less intelligent&quot; vs. &quot;more intelligent&quot; isn't the kindest or most accurate way to classify these queries. Some of the &quot;more intelligent&quot; queries are clearly high-schoolers desperately trying to get their homework done. And some of the &quot;less intelligent&quot; queries are no doubt very smart people distracting themselves with Google in an idle moment. But let's not allow nuance to get in the way of contest.</p>
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  <item> <title>VW&#039;s Fun Theory -- making the right thing the fun thing increases adoption</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#99c9d099-6b0f-4bf7-aa59-4d98cae3c640</link>
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<a href="http://andrewsullivan.theatlantic.com/the_daily_dish/2009/10/public-art-meets-nudge.html" shape="rect">Public Art Meets <i>Nudge</i></a>
<p>&quot;<a href="http://www.thefuntheory.com/" shape="rect">The Fun Theory</a>&quot; is an ingenuous initiative by Volkswagen:</p>

<p>This site is dedicated to the thought that something as simple as fun is the easiest way to change people’s behaviour for the better. Be it for yourself, for the environment, or for something entirely different, the only thing that matters is that it’s change for the better.</p>

<p>Go see how they get people to <a href="http://www.youtube.com/watch?v=zSiHjMU-MUo&amp;feature=player_embedded" shape="rect">recycle</a> and <a href="http://www.youtube.com/watch?v=cbEKAwCoCKw&amp;feature=player_embedded" shape="rect">throw away their rubbish</a>. Go <a href="http://www.thefuntheory.com/?q=entries" shape="rect">here</a> to submit your idea for a cash prize.</p>
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  <item> <title>Easterbrook on pro sports and antitrust: is a team a division of a company, or its own corporation?</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#8a529680-af12-4b92-be95-61f9f9af99a8</link>
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<p>If teams in a pro sports league are like divisions of a single organization, then it's not restraint of trade for them to cooperate on salary caps, sales of television rights and so on. If teams are like independent companies, then certain kinds of cooperation may be price collusion. (In 1984, <a target="new" href="http://supreme.justia.com/us/468/85/case.html" shape="rect">the Supreme Court ruled</a> that Division I college football teams are more like individual companies than like divisions of the NCAA, but the legal issues for college and the pros are somewhat different.) In the NFL's case, TMQ thinks the 32 teams are like 32 divisions of the same enterprise, considering that no NFL team wants to put any other NFL team out of business -- if, say, the Vikings didn't just defeat the Packers but put them out of business, that would be a huge disaster for the Vikings. The same applies to other NFL teams -- they compete with rival teams on the field, but financially all clubs rise or fall together, unlike in the marketplace for products. On the other hand, each of the 32 NFL divisions is run by someone with the title &quot;owner,&quot; which does sound like distinct organizations which would be banned from price collusion.</p>
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  <item> <title>surprises behind the resurrection of the public option</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#13ce4489-41d9-43a4-a3aa-f9e42ca4b54c</link>
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<div>Last week, we discussed 10 ways in which the <a href="http://www.fivethirtyeight.com/2009/10/why-less-pure-public-option-is-possibly.html" shape="rect">environment had become more favorable to the public option</a>. But some of those -- like the favorable CBO score that the public option will get -- were foreseeable ahead of time. What, then, were the real surprises?<br clear="none"/>
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The first surprise is that Reid is showing some backbone. I don't think this move is quite as risky as it looks, because Reid has some wiggle room before he passes the point of no return. But Harry Reid does not generally have a reputation as a risk-taker, even in small doses. A nontrivial factor is that he's literally gone overnight from being a goat to a hero in the progressive blogger/activist community, something that could pay dividends when he's seeking cash and volunteers for what will be a very tough re-election campaign. Save perhaps for Alex Rodriguez, nobody has done more in the last month to resuscitate their image with their fan base.<br clear="none"/>
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The second surprise is that this happened without much explicit support from the White House.<br clear="none"/>
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The third surprise is the way that Democrats regrouped after the turmoil of August. The President's <a href="http://www.huffingtonpost.com/2009/09/09/obama-health-care-speech_n_281265.html" shape="rect">speech</a> on September 9th was a major and -- in my opinion -- still somewhat underrated factor in this. But also: the tea party/town hall movement that dominated the headlines in August is at this stage somewhat immature, with a lot of sound and fury but not so much focus -- sort of where liberals were at in 2002/03 before the failures of the Bush administration became more manifest. Whereas liberal activists have been focused on a laser like the public option, conservative activists have been distracted by ACORN, Van Jones, the NFL's conspiracy against Rush Limbaugh, and who-knows-what. Usually it's liberals who have amorphous, omnibus critiques of the government, and conservatives who bear down on specific policies; the polarity seems somewhat to have reversed.<br clear="none"/>
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The fourth surprise, less important than the first three, is that the usually very footsure insurance lobby undermined its credibility by putting out the <a href="http://www.slate.com/id/2232310/pagenum/all/" shape="rect">wrong st...</a></div></div>
    
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  <item> <title>jan 2 2010</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#96537ed0-884c-45b6-8268-3c02c53c8ace</link>
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<div>Rogue Planet? Cosmic Energy Wave? Palindrome Is Real Threat of Doom: Tuesday Morning Quarterback thinks the milestone you should worry about is not the year 2012 but the day Jan. 2, 2010 -- 01022010, a palindrome. The most recent palindrome day was Oct. 2, 2001 -- 10022001, and things were pretty crummy then, 9/11 having just occurred. The prior palindrome date was August 31, 1380 -- 08311380, and the entire 14th century was fairly crummy. (Historian Barbara Tuchman's great book &quot;A Distant Mirror&quot; basically concerns how crummy the 14th century was.) On the last palindrome date, in 2001, TMQ reader Tim Lowell predicted that first contact with space aliens will occur on Jan. 2, 2010. Since first contact with space aliens seems a lot more likely than an aircraft carrier being hurled into the White House -- this happens in the movie, though the White House is 100 miles from the ocean -- I am bracing for Jan. 2, 2010.</div>
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  <item> <title>Richard Wolfe on healthcare reform</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#5b4d36f6-8392-4606-9551-d6bc405a86e7</link>
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        <div class="ennote">wolfe on healthcare reform: 2 factors forced EM to develop in the us: fee for service and tort rewards -- which create demand for highly trained emergency specialists. we are dismantling those forces now... our specialty may suffer as a result.</div>
    
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  <item> <title>Thank new FCC Chairman Julius Genachowski for giving us a better mobile Internet. - By Farhad Manjoo - Slate Magazine</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#0308d955-12c8-4345-b1aa-6df9d867540b</link>
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<p>Genachowski, a lawyer who worked for many years in Silicon Valley, is the most technologically aware FCC chairman ever to occupy the job. In particular, he understands what has made the Internet such a successful platform for innovation: It was designed to avoid favoring any particular application. In the few months since he took over the FCC, Genachowski has set a new tone for the agency, promising to rein in any companies that try to restrict what people can do on their Internet lines. In August, he surprised the tech industry by <a target="_blank" href="http://www.cnbc.com/id/15840232?video=1287304705&amp;play=1" shape="rect">demanding an explanation</a> from Apple for its rejection of Google Voice. Late in September, he argued for new rules to make sure Internet service providers obey the FCC's <a target="_blank" href="http://en.wikipedia.org/wiki/Network_neutrality" shape="rect">network-neutrality</a> principles. In an <a target="_blank" href="http://www.cnbc.com/id/15840232?video=1287304705&amp;play=1" shape="rect">interview with CNBC</a> the other day, Genachowski was asked whether telecom companies should think of him as the new sheriff in town. The chairman dodged the question. But he's being modest: Genachowski didn't have to pass a single new regulation before carriers began to transform their business practices. Whether or not he wants to be known as the sheriff, they're already scrambling to avoid his six-shooter.</p>
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  <item> <title>NCBI ROFL</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#32d664a6-4aa9-4adf-9311-6044d95ad203</link>
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<a href="http://www.ncbirofl.com/2009/10/dance-till-you-cant-dance-till-you-cant.html" shape="rect">Dance till you can't dance till you can't dance no more</a>
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<div>In a spin: the mysterious dancing epidemic of 1518.
<p>&quot;In 1518, one of the strangest epidemics in recorded history struck the city of Strasbourg. Hundreds of people were seized by an irresistible urge to dance, hop and leap into the air. In houses, halls and public spaces, as fear paralyzed the city and the members of the elite despaired, the dancing continued with mindless intensity. Seldom pausing to eat, drink or rest, many of them danced for days or even weeks. And before long, the chronicles agree, dozens were dying from exhaustion. What was it that could have impelled as many as 400 people to dance, in some cases to death?&quot;</p>
<a href="http://www.ncbi.nlm.nih.gov/pubmed/18602695" shape="rect"></a>
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<div>rated 4.72 by 8 people [<a shape="rect">?</a>]</div>

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  <item> <title>names and achievement</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#6afc5c71-455a-4059-98ca-97c00bfd10ce</link>
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<p>You reminded me of something that's the bizarre version of the Joey Harrington phenomenon. Remember my theory that Harrington would have been an elite quarterback if his name had been &quot;Joe Harrington&quot; or &quot;Johnny Harrington&quot; (remember, his real name was John Joseph Harrington)? For whatever reason, the name &quot;Joey&quot; just killed him. It was impossible to take him (or really, any athlete) seriously because &quot;Joey&quot; is the name of your fat little cousin who keeps farting at Thanksgiving dinner, or your unemployed uncle who has to move into your family's spare bedroom for a few months until he gets back on his feet.</p>
<p>Well, the name &quot;Tony Romo&quot; ... I mean, that's a great name. That sounds like the name of someone who is going to be such a smash hit, he'll end up winning a couple of Super Bowls and opening a chain of BBQ restaurants. I want to root for &quot;Tony Romo.&quot; I want to believe that &quot;Tony Romo&quot; is going to come through on this game-winning drive. I want &quot;Tony Romo&quot; to plow through a series of hot actresses and singers. I want &quot;Tony Romo&quot; to stay single past retirement, develop a drinking problem and eventually hit on a sideline reporter during a live telecast before entering rehab. These are the things that &quot;Tony Romo&quot; should do.</p>
<p>This is why we projected talents for Romo that he didn't actually have. I picked him 40th in my West Coast fantasy draft even though he didn't have a proven No. 1 receiver. Why? Because he's &quot;Tony Romo&quot;! Now, let's say his name had been &quot;Kyle Boller&quot; or &quot;Kevin O'Connell&quot; or &quot;Alex Smith&quot; or &quot;Jared Lorenzen&quot; this whole time. Would you have believed in him? Would we have given him the same benefit of the doubt all these times when he kept gagging in big moments? I say no. We believed in Tony Romo mainly because he seemed like a good guy and he had a great name. Really, those were the only two reasons.</p>
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  <item> <title>Flomax doesn&#039;t help renal colic in ED patients</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#6db6d27a-d9f6-4f00-91f1-50d5f73a96aa</link>
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 Tamsulosin for Treatment of ED Patients with Renal Colic?
<p>Tamsulosin provided no benefit over conventional outpatient analgesic therapy in adult ED patients with small, distal renal ureteral stones.</p>
<p>Tamsulosin, an -adrenergic antagonist commonly used in the treatment of prostatic hypertrophy, has become a common treatment in the emergency department for renal colic caused by distal ureterolithiasis, based entirely on a small body of evidence that supports its use in the outpatient urology setting. In a prospective trial, 71 adult patients who presented to a single ED in Maine with renal colic caused by distal ureterolithiasis that was diagnosed by computed tomography (mean stone size, 3.6 mm) were randomized to receive 10 days of conventional outpatient therapy with ibuprofen and oxycodone alone or with tamsulosin (0.4 mg/day).</p>
<p>Spontaneous passage of ureteral stones at 14 days (the primary outcome) did not differ significantly between the tamsulosin and conventional-therapy groups (77% and 65% of patients, respectively). In addition, no significant differences were noted between groups in time to stone passage, self-reported pain scores, number of colicky pain episodes, unscheduled return ED or primary care visits, number of missed workdays, amount of analgesic used, or incidence of adverse events.</p>
<p>Comment: This is not the first time that a therapy that had been shown to be effective for a subspecialty outpatient population fails to show similar results for ED patients with apparently comparable disease. Routine use of tamsulosin for ED patients with renal colic caused by small (4 mm) distal stones likely has no value. More study is required to determine its usefulness in ED patients with larger or more-proximal stones.</p>
<p>— <a href="http://emergency-medicine.jwatch.org/misc/board_about.dtl?q=etoc_jwem#aZane" target="_blank" shape="rect">Richard D. Zane, MD, FAAEM</a></p>
<p>Published in Journal Watch Emergency Medicine October 9, 2009</p>
<p>Citation(s):</p>
<div> </div>
<p>Ferre RM et al. Tamsulosin for ureteral stones in the emergency department: A randomized, controlled trial. Ann Emerg Med 2009 Sep; 54:432.</p>
<p><a href="http://emergency-medicine.jwatch.org/cgi/external_ref?access_num=19200622&amp;link_type=MED" target="_blank" shape="rect">Medline abstract</a> (Free)</p>
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  <item> <title>Taylor Branch&#039;s The Clinton Tapes. - By Jacob Weisberg - Slate Magazine</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#bd049e6e-1297-48df-854c-570283d85bcd</link>
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<p>When Paul Begala came up with the phrase &quot;the comeback kid&quot; to spin Bill Clinton's second-place showing in the New Hampshire primary in 1992, he may have been making a deeper observation than he knew. At any given moment, Clinton seems to be winning your admiration, squandering it, or putting every ounce of his energy into regaining it. He's at his best in a corner. But after a while, you begin to notice that it is always the same person who puts him in the corner. There's a Houdini element to the performance. Clinton allows himself to be bound in chains so that he can emerge to amazement and applause. He's like a fireman whose hobby is arson.</p>
<p>The Clintonian loop of accomplishment, self-sabotage, and recovery means that whoever you are—a member of the public, a journalist covering him, an aide, his wife—it is impossible to maintain any kind of consistent attitude toward him. If you invest your hopes in him, he will disappoint you. If you fall in love with him, he will cheat on you. And if you decide you're giving up on him once and for all, he will move heaven and earth to get you back. This routine, embedded since childhood, will continue until the day he dies. It played out most recently in the 2008 election. Clinton helped to undermine his wife's presidential chances and infuriated even his most ardent defenders by diminishing Barack Obama's primary victories and dismissing his popularity as a &quot;fairy tale.&quot; Through the first half of last year, everyone was completely disgusted with him. But the ex-president has been on his <a href="http://www.nytimes.com/2009/05/31/magazine/31clinton-t.html" target="_blank" shape="rect">best behavior</a> ever since, and we've all forgiven him once again</p>
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  <item> <title>Have To Go To ER With Citizens You Have -- Not Citizens You Might Want Sen. John Ensign (R-NV): The U.S. health care system would beat out European health care if it were treating Europeans rather than Americans, who get in car accidents and shoot each...</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#4a575daa-8715-43c9-958c-d45605b5ba13</link>
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<div><a href="http://www.talkingpointsmemo.com/archives/2009/09/creative_analysis_via_john_ensign.php?ref=fpblg" shape="rect">Have To Go To ER With Citizens You Have -- Not Citizens You Might Want</a> Sen. John Ensign (R-NV): The U.S. health care system would beat out European health care <a href="http://tpmlivewire.talkingpointsmemo.com/2009/09/ensign-our-health-system-is-way-better-than-europes----if-you-dont-count-gunshots-and-auto-accidents.php?ref=fpblg" shape="rect">if it were treating Europeans rather than Americans</a>, who get in car accidents and shoot each other and stuff like that.</div>
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    ]]></description> <pubDate>Wed, 30 Sep 2009 07:52:20 GMT</pubDate> <guid>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#4a575daa-8715-43c9-958c-d45605b5ba13</guid> 
  
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  <item> <title>Greg Henry on scribes</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#e125c04a-2a79-48ac-9b41-14812c0982ae</link>
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If you’re going to talk about workforce, you need to talk about expanding the service capabilities of each person involved and deciding who should be doing what job. No physician should be making phone calls, sitting at the computer or filling out paperwork. It is estimated that we could double the physician output if physicians had scribes. Why wouldn’t you take a $12-to $17-per-hour position if you could double the output of a $125-per-hour person? No one who actually has a financial stake in running an emergency department would want to have their most expensive asset doing work that can be done by someone for one-tenth the cost. No other industry would be so wasteful. Why we’re doing it I have no idea. 
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  <item> <title>James Fallows on moronic announcements (wait until he rides the MTA)</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#e3bff551-4da6-4706-b272-710b312d99e2</link>
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<div>- In a number of airports the past few days. I can't help noticing the moronic, utterly rote and meaningless announcements that begin, &quot;The Department of Homeland Security has determined that the threat level is Orange. Please be alert...&quot; The way you can tell that I'm still not fully acclimated is that I notice the announcements at all. For everyone else, they are 100% white noise. Is there a stupider aspect of national policy at the moment than these formulaic &quot;threat level&quot; announcements, which are always orange and which give no useful info whatsoever? Okay, I'm sure there's something stupider, but for rhetorical purposes I'll say that I can't think of one right now.</div>
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  <item> <title>SCOUTING NY - www.scoutingny.com » New York, You’ve Changed: Ghostbusters – Part 2</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#922bf240-cfc9-43ff-9804-52f6caf982ce</link>
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<p>A quick tidbit you might have missed – in this shot, you can see a “STAY PUFT MARSHMALLOWS” wall ad on the building to the left (wouldn’t that be a great addition to the now otherwise ugly wall?).</p>
<p><a href="http://www.flickr.com/photos/32277674@N08/3946946122/" title="GB012a by nycscout, on Flickr" shape="rect"></a></p>
<p><a href="http://www.flickr.com/photos/32277674@N08/3946164579/" title="GB012b by nycscout, on Flickr" shape="rect"></a></p>
<p>As ghosts escape, we see one fly out of a subway station, which can be found at the City Hall RW train entrance on Broadway west of City Hall (the newsstand seems to have shifted south a block):</p>
<p><a href="http://www.flickr.com/photos/32277674@N08/3946164733/" title="GB013a - Subway by nycscout, on Flickr" shape="rect"></a></p>
<p><a href="http://www.flickr.com/photos/32277674@N08/3946165229/" title="GB013b - Subway by nycscout, on Flickr" shape="rect"></a></p>
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  <item> <title>Star Wars: Episode V - The Empire Strikes Back (1980) - Trivia</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#721b7187-143c-4449-aeba-5244908ee461</link>
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<ul><li>The carbon freezing chamber is the only time in the original trilogy that Darth Vader and C3PO can be seen on screen together.<br clear="none"/>
</li></ul>
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  <item> <title>Don&#039;t Count Health Care Chickens Yet -- Nate Silver</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#ec718800-9c23-4d33-966f-02e86d3fdb49</link>
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<div>by Nate Silver @ <a href="http://www.fivethirtyeight.com/2009/09/dont-count-health-care-chickensyet.html" shape="rect">8:48 PM</a></div>
<div><a name="Don" shape="rect"></a><a shape="rect">Share This Content</a></div>
<div>The smart, insider take these days seems to be that health care reform will almost certainly pass the Congress. Different encapsulations of this can be found from <a href="http://voices.washingtonpost.com/ezra-klein/2009/09/the_patient_is_in_stable_condi.html" shape="rect">Ezra Klein</a> (&quot;that's where we sit: incredibly, incredibly close to the finish line&quot;) and <a href="http://meganmcardle.theatlantic.com/archives/2009/09/health_care_reform_starts_look.php" shape="rect">Megan McArdle</a> (&quot;I now put the chances of a substantial health care bill passing at 75%&quot;).<br clear="none"/>
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Actually, Megan's number seems about right. If I had to attach a probability estimate to health care passing, it would be that one: 75 percent. But I don't think it's as high as, say, 90 or 95 percent, and my sense is that there are lot of informed observers who do.<br clear="none"/>
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My <a href="http://www.fivethirtyeight.com/2009/09/is-public-opinion-on-health-care-locked.html" shape="rect">encapsulation</a> last week was that public opinion on health care is now more or less fully formed, and that Democrats managed to snatch a draw from the jaws of defeat. Hardly what they'd want under ideal circumstances. But probably good enough, given that the memory of the impact of the failure to pass health care reform in 1993-94 looms large in the Democratic consioussness.<br clear="none"/>
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But it's one thing for some combination of the 59 Senate Democrats, plus Olympia Snowe, plus Ted Kennedy's replacement in Massachusetts, plus perhaps one or two retiring Republicans like George Voinovich, to have the intention of passing health care reform. It's another thing to actually do it. And the process itself is rather complicated, for several reasons.<br clear="none"/>
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1) The process will be loooooooong. There are <a href="http://www.medpagetoday.com/PublicHealthPolicy/Washington-Watch/16069" shape="rect">more than 500 amendments</a> to Senator Baucus's mark-up, some of which are dilatory or trivial, but many of which -- especially those offered by Sens. Snowe, Wyden are Rockefeller -- are substantive. Essentially every aspect of the health care debate will be revisited? The public option? There's an amendment for that. More generous subsidies for the middle class? There's an amendment for that. Some random crap about ACORN? There's an amendment for that too. (Personally, I'm surprised that no Senator has yet taken the opportunity to insert an amendment ensuring that no Al Qaeda members will be cover...</div></div>
    
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  <item> <title>The Daily Dish | By Andrew Sullivan</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#83772122-ea0e-485d-9fce-e036e06b9390</link>
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<p>As someone like you trying to find and hold a shrinking &quot;middle ground&quot; on a battlefield of true believers, one metaphor I like -- reflecting my technogeek roots -- is that of signal processing: People like you and me believe that there is something that precedes our material world, both temporally and metaphysically; and further that we can on occasion glimpse or &quot;feel it&quot;. In other words, there is a Signal, though it can get corrupted, become &quot;noisy&quot; and open to many imperfect interpretations -- as it is mediated through limited human understanding, powerful egos, primate pack dynamics and political maneuvering.</p>
<p>The militant atheists, a la Dawkins, insist (with no real evidence) that there is no signal.</p>
<p>The fundamentalists and literalists insist (with poor evidence and poorer reasoning skills) that there is no noise, only their own One True Signal.</p>
<p>To me the most fertile ground for intellectual and spiritual exploration is the effort to recover the signal from the noise. It seems to require humility and patience, two assets largely devalued in today's culture.</p>

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  <item> <title>EBM and its variants</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#f4776909-78e2-4ff8-9d83-336ac28ff32b</link>
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<div>You should look at <a href="http://www.bmj.com/cgi/content/full/319/7225/1618" target="_blank" shape="rect">http://www.bmj.com/cgi/content/full/319/7225/1618</a> which describes the 7 alternatives to Evidence Based Medicine<br clear="none"/>
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Basis for clinical decisions   Marker              Measuring device    Unit of measurement<br clear="none"/>
Evidence                                Randomised controlled trial Meta-analysis           Odds ratio<br clear="none"/>
Eminence                        Radiance of white hair         Luminometer          Optical density<br clear="none"/>
Vehemence                        Level of stridency                 Audiometer          Decibels<br clear="none"/>
Eloquence (or elegance) Smoothness of tongue or nap of suit   Teflometer     Adhesin score<br clear="none"/>
Providence                        Level of religious fervour Sextant to measure angle of genuflection International units of piety<br clear="none"/>
Diffidence                        Level of gloom                 Nihilometer         Sighs<br clear="none"/>
Nervousness                        Litigation phobia level         Every conceivable test Bank balance<br clear="none"/>
Confidence*                        Bravado                                 Sweat test          No sweat<br clear="none"/>
* Applies only to surgeons.<br clear="none"/>
- Show quoted text -</div>
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    ]]></description> <pubDate>Sat, 19 Sep 2009 22:02:40 GMT</pubDate> <guid>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#f4776909-78e2-4ff8-9d83-336ac28ff32b</guid> 
  
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  <item> <title>The Daily Dish | By Andrew Sullivan</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#13c74b45-8d72-445c-9a89-059a6b9a539d</link>
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<p>Ta-Nehisi's take on Limbaugh's race-baiting is <a href="http://ta-nehisicoates.theatlantic.com/archives/2009/09/flip_and_pop_my_collar_like_the_fonz.php" shape="rect">here</a>. TNC celebrates that Obama is no Al Sharpton or Jesse Jackson:</p>

<p>Barack Obama, bourgeois in every way that bourgeois is right and just, will not dance. He tells kids to study--and they seethe. He accepts an apology for an immature act of rudeness--and they go hysterical. He takes his wife out for a date--and their veins bulge. His humanity, his ordinary blackness, is killing them. Dig the audio of his response to Kanye West--the way he says, <a href="http://www.tmz.com/2009/09/15/obama-calls-kanye-a-jackass/" shape="rect">&quot;He's a jackass.&quot;</a> He sounds like one of my brothers. And that's the point, because that's what he is. Barack Obama refuses to be their nigger. And it's driving them crazy.</p>
<p>It's about time.</p>

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  <item> <title>12 Most Ridiculous Similes in Music History - Page 2 | Cracked.com</title> <link>http://www.evernote.com/pub/nickgenes/interesting_miscellaneous#750ed54c-171b-48b2-9581-1637f9e0eef8</link>
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<p>Much has been made of the fact that Alanis' concept of irony doesn't quite meet the standards taught in most high school English classes, but her similes are every bit as worthy of scorn. Has anyone, in the history of mankind, ever needed a knife and ironically wound up with 10,000 spoons instead?</p>
<p>We're trying to imagine the circumstances, but each scenario seems more unlikely than the last:</p>
<ul><li>You work at the spoon factory, and the only way to unjam a cog in the spoon-making machine is to grease it by spreading butter over it.</li><li>You invited the band 10,000 Maniacs to a dinner party, and the caterer, worried that they were in fact 10,000 maniacs, thought it best to limit their access to sharp items.</li><li>You are armed for an invasion of Cereal Land, but the gates are being guarded by two juicy 72-ounce steaks.</li></ul>

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