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"Solomon, Matt"
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Deck Z : the Titanic : unsinkable, undead
\"This fast-paced thriller reimagines the historical events of the fateful Titanic voyage through the lens of zombie mayhem. Captain Edward Smith and his inner circle desperately try to contain a weaponized zombie virus smuggled on board with the 2,200 passengers sailing to New York. Faced with an exploding population of lumbering, flesh-hungry undead, Smith's team is forced into bloody hand-to-hand combat down the narrow halls of the huge steamer. In its few short days at sea, the majestic Titanic turns into a Victorian bloodbath, steaming at top speed toward a cold, blue iceberg.\"--Provided by publisher.
Clinical decision support to Optimize Care of patients with Atrial Fibrillation or flutter in the Emergency department: protocol of a stepped-wedge cluster randomized pragmatic trial (O’CAFÉ trial)
2023
Background
Management of adults with atrial fibrillation (AF) or atrial flutter in the emergency department (ED) includes rate reduction, cardioversion, and stroke prevention. Different approaches to these components of care may lead to variation in frequency of hospitalization and stroke prevention actions, with significant implications for patient experience, cost of care, and risk of complications. Standardization using evidence-based recommendations could reduce variation in management, preventable hospitalizations, and stroke risk.
Methods
We describe the rationale for our ED-based AF treatment recommendations. We also describe the development of an electronic clinical decision support system (CDSS) to deliver these recommendations to emergency physicians at the point of care. We implemented the CDSS at three pilot sites to assess feasibility and solicit user feedback. We will evaluate the impact of the CDSS on hospitalization and stroke prevention actions using a stepped-wedge cluster randomized pragmatic clinical trial across 13 community EDs in Northern California.
Discussion
We hypothesize that the CDSS intervention will reduce hospitalization of adults with isolated AF or atrial flutter presenting to the ED and increase anticoagulation prescription in eligible patients at the time of ED discharge and within 30 days. If our hypotheses are confirmed, the treatment protocol and CDSS could be recommended to other EDs to improve management of adults with AF or atrial flutter.
Trial registration
ClinicalTrials.gov
NCT05009225
. Registered on 17 August 2021.
Journal Article
Clinical outcomes and patient satisfaction rates among elderly male aged ≥75 years with inflatable penile prosthesis implant for medically refractory erectile dysfunction
2014
Purpose
The purpose of the study is to assess the clinical outcomes and patient satisfaction rate between men aged under and over 75 years who underwent inflatable penile prosthesis (IPP) implantation.
Methods and materials
A retrospective review of clinical database and follow-up independent telephone survey was undertaken in all men who underwent first-time IPP implantation between January 2006 and November 2010. Patient demographics, surgical outcomes, and patient satisfaction rate using Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) scores were recorded.
Results
A total of 216 first-time IPP were implanted. Of these, 30 patients were aged ≥75 years. In men aged ≥75 years, 3 patients had IPP revision surgery for mechanical malfunction (average 18.6 months; 12–24 months). While the 2-year Kaplan–Meier estimates of mechanical survival showed better outcome in men aged ≥75 years than men aged <75 years (95 vs. 92 %;
p
= 0.38), there was no difference in the IPP mechanical survival between the 2 groups at 3 years follow-up. There were no statistically significant differences in the ease of IPP use, and EDITS scores among the two groups. The majority of men were satisfied and would recommend the IPP surgery to other men.
Conclusions
Men aged ≥75 years reported satisfactory outcome with IPP surgery with no statistical significant difference identified across device survival and satisfaction rates compared to men aged <75 years.
Journal Article
Building blocks
2014
According to Prime Minister Benjamin Netanyahu, Jews today face a similar restriction, though not in America but in Jerusalem, the capital of Israel.
Newspaper Article
LEO HAS NOTHING ON BARNEY
1998
I didn't want to see either in theaters, but my wife (in the case of \"Titanic\") and sons (you guessed it - \"Barney\") convinced me to witness both spectacles in all their big-screen glory. The mind wanders when one suffers through movies one doesn't want to see. And one thought in particular struck me while watching the two films: \"Titanic\" and \"Barney\" are amazingly - some might say disturbingly - similar. Examine this plot: Cute young people learn life's lessons when their paths cross with a larger-than-life monstrosity. Am I talking \"Titanic\" or \"Barney\" here?
Newspaper Article
Seven fatal errors of video production
2007
Business video can promote your organization, message and sales. It works best and maximizes the return on your corporate communications investment when you avoid these fatal errors: 1. trying to say everything, 2. focusing on the message after the video is shot, 3. creating a video for select execs, 4. employing creativity by committee, 5. not planning for more than one use, 6. focusing on awards, not the message, and 7. taking the cheapest way out.
Magazine Article
Data warehousing
1997
Many credit unions are a modern version of the Tower of Babel, stuck with disparate databases that do not easily integrate with one another. Data warehousing tries to clarify this confusion by pulling together information from many incompatible sources into a single, consistently formatted, decision-making tool. In other words, a data warehouse is a database of databases. The coordinated information has many potential uses, including strengthening relationships with the most profitable members, assembling information about individual and group usage patterns, and customizing marketing messages to audiences of one. Clearly, credit unions do not have billions of dollars to invest in data warehouses. That is only one of the obstacles to installing such systems; others include the fact that many credit unions still do not have a professional technical staff.
Magazine Article
How to make concrete plans for an unpredictable future
1997
The key to success is mastering paradox. For example, the need to be able to learn quickly then forget quickly. New information that competes with old information just causes confusion. Discarding old knowledge and replacing it with new ideas, however, is difficult skill to learn. Credit unions must embrace the paradox by setting definite plans in an uncertain environment. To prepare those flexible strategies, a 3 1/2 step process is suggested: 1. predict, 2. plan, 3. prepare, and 3.5. do not be too specific.
Magazine Article
Missing the boat
1997
Finance companies' share of consumer debt, including real estate loans, more than doubled from 1989 to 1995. Part of that growth is from finance companies' determined pursuit of home equity loans. Credit unions have only 13% of their members' home equity loans. It can be daunting for credit unions to compete with all the discounted rates and fees that bigger institutions can afford to offer. But credit unions that do offer home equity loans say business is booming. The top 2 reasons consumers want home equity loans are debt consolidation and home improvement. Credit unions are taking a number of marketing approaches to successfully stake a claim to their share of the home equity market, including advertising, cutting the paperwork, selling the advantages, providing easy access, and cross-selling.
Magazine Article