Overlooked physical diagnoses in chronic pain patients involved in litigation, Part 2. The addition of MRI, nerve blocks, 3-D CT, and qualitative flow meter

This study followed 120 chronic pain patients referred to a multidisciplinary pain center. The referral diagnosis for many patients, such as "chronic pain," "psychogenic pain," or "lumbar strain," was frequently found to be incomplete or inaccurate (40%) following a multidisciplinary evaluation that used appropriate diagnostic studies, including magnetic resonance imaging, computed tomography, nerve blocks, and qualitative flowmeter. Significant abnormalities were discovered in 76% of the diagnostic tests. An organic origin for pain was found in 98% of these patients. The patients were discharged with objective verification of diagnoses including facet disease, nerve entrapment, temporomandibular joint disease, thoracic outlet syndrome, and herniated discs.     

African Clouds over the Oslo Opera

Expressive mobile narratives are in the early stages of design and participative formation. We ask what relations and articulations can be brought to play in the design and enactment of a mobile fictional space in which identity is a core motivation and design feature. Through a design case, we share experiences in the building and trial process of an experimental, mobile “social fiction” called NarraHand. We introduce a new category of expressive mobile narrative, the “reflexive place-space narrative,” along with the term Markers of Identity (MOI).     

Recognition is not parsing — SPPF-style parsing from cubic recognisers

In their recogniser forms, the Earley and RIGLR algorithms for testing whether a string can be derived from a grammar are worst-case cubic on general context free grammars (CFG). Earley gave an outline of a method for turning his recognisers into parsers, but it turns out that this method is incorrect. Tomita’s GLR parser returns a shared packed parse forest (SPPF) representation of all derivations of a given string from a given CFG but is worst-case unbounded polynomial order. The parser version of the RIGLR algorithm constructs Tomita-style SPPFs and thus is also worst-case unbounded polynomial order. We have given a modified worst-case cubic GLR algorithm, that, for any string and any CFG, returns a binarised SPPF representation of all possible derivations of a given string. In this paper we apply similar techniques to develop worst-case cubic Earley and RIGLR parsing algorithms.     

Improving literacy and metacognition with electronic portfolios: Teaching and learning with ePEARL

Can an electronic portfolio that is both a multimedia container for student work and a tool to support key learning processes have a positive impact on the literacy practices and self-regulated learning skills of students? This article presents the findings of a yearlong study conducted in three Canadian provinces during the 2007–2008 school year initially involving 32 teachers and 388 students. Due to varying levels of implementation our final data set included 14 teachers and 296 students. Using a non-equivalent pre-test/post-test design, we found that grade 4–6 students who were in classrooms where the teacher provided regular and appropriate use of the electronic portfolio tool ePEARL (i.e., medium–high implementation condition, n = 7 classrooms and 121 students), compared to control students (n = 7 classrooms and 175 students) who did not use ePEARL, showed significant improvements (p < .05) in their writing skills on a standardized literacy measure (i.e., the constructed response subtest of the Canadian Achievement Test-4th ed.) and certain metacognitive skills measured via student self-report. The results of this study indicate that teaching with ePEARL has positive impacts on students’ literacy and self-regulated learning skills when the tool is used regularly and integrated into classroom instruction.     

Comparing measures of model selection for penalized splines in Cox models

This article presents an application and a simulation study of model fit criteria for selecting the optimal degree of smoothness for penalized splines in Cox models. The criteria considered were the Akaike information criterion, the corrected AIC, two formulations of the Bayesian information criterion, and a generalized cross-validation method. The estimated curves selected by the five methods were compared to each other in a study of rectal cancer mortality in autoworkers. In the stimulation study, we estimated the fit of the penalized spline models in six exposure-response scenarios, using the five model fit criteria. The methods were compared on the basis of a mean squared error score and the power and size of hypothesis tests for any effect and for detecting nonlinearity. All comparisons were made across a range in the total sample size and number of cases.     

A bootstrap goodness of fit test for the generalized Pareto distribution

This paper proposes a bootstrap goodness of fit test for the Generalized Pareto distribution (GPd) with shape parameter γ. The proposed test is an intersection–union test which tests separately the cases of γ≥0 and γ<0 and rejects if both cases are rejected. If the test does not reject, then it is known whether the shape parameter γ is either positive or negative. A Monte Carlo simulation experiment was conducted to assess the power of performance of the intersection–union test. The GPd hypothesis was tested on a data set containing Mexico City’s ozone levels. ¹     

Thermal and cardiovascular strain imposed by motorcycle protective clothing under Australian summer conditions

Motorcycle protective clothing can be uncomfortably hot during summer, and this experiment was designed to evaluate the physiological significance of that burden. Twelve males participated in four, 90-min trials (cycling 30 W) across three environments (25, 30, 35 °C [all 40% relative humidity]). Clothing was modified between full and minimal injury protection. Both ensembles were tested at 25 °C, with only the more protective ensemble investigated at 30 and 35 °C. At 35 °C, auditory canal temperature rose at 0.02 °C min^?1 (SD 0.005), deviating from all other trials (p < 0.05). The thresholds for moderate (>38.5 °C) and profound hyperthermia (>40.0 °C) were predicted to occur within 105 min (SD 20.6) and 180 min (SD 33.0), respectively. Profound hyperthermia might eventuate in ~10 h at 30 °C, but should not occur at 25 °C. These outcomes demonstrate a need to enhance the heat dissipation capabilities of motorcycle clothing designed for summer use in hot climates, but without compromising impact protection.

Practitioner’s Summary:

Motorcycle protective clothing can be uncomfortably hot during summer. This experiment was designed to evaluate the physiological significance of this burden across climatic states. In the heat, moderate (>38.5 °C) and profound hyperthermia (>40.0 °C) were predicted to occur within 105 and 180 min, respectively.