Source: Nurses as Leaders: Broad Acceptance, Room to Grow (15-pg NEJM PDF)
Wednesday, January 30, 2019
Posted by SNi at 1/30/2019 07:00:00 PM
Monday, January 28, 2019
Saturday, January 26, 2019
Tuesday, January 22, 2019
Source: Nonclinical Safety Testing in Support of Development of Paediatric Medicines: Core Guideline (38-page PDF)
Posted by SNi at 1/22/2019 06:30:00 PM
Monday, January 21, 2019
"In 2016, 5% of the population accounted for half of all health spending. The 5% of people who spend the most on health care spend an average of around $50,000 annually; people in the top 1% have average spending of over $109,750. At the other end of the spectrum, the 50% of the population with the lowest spending accounted for only 3% of all total health spending; the average spending for this group was $276...
While there are people with high spending at all ages, overall, people age 55 and over made up 29% of the population but accounted for 56% of all health spending in 2016. In contrast, people under age 35 made up 46% of the population but accounted for less than a quarter of health spending."
Posted by SNi at 1/21/2019 08:30:00 PM
Sunday, January 20, 2019
Source: A Study of the Pre-Attack Behaviors of Active Shooters in the United States Between 2000 and 2013 (29-pg FBI PDF)
"Key Findings of the Phase II Study
1. The 63 active shooters examined in this study did not appear to be uniform in any way such that they could be readily identified prior to attacking based on demographics alone.
2. Active shooters take time to plan and prepare for the attack, with 77% of the subjects spending a week or longer planning their attack and 46% spending a week or longer actually preparing (procuring the means) for the attack.
3. A majority of active shooters obtained their firearms legally, with only very small percentages obtaining a firearm illegally.
4. The FBI could only verify that 25% of active shooters in the study had ever been diagnosed with a mental illness. Of those diagnosed, only three had been diagnosed with a psychotic disorder.
5. Active shooters were typically experiencing multiple stressors (an average of 3.6 separate stressors) in the year before they attacked.
6. On average, each active shooter displayed 4 to 5 concerning behaviors over time that were observable to others around the shooter. The most frequently occurring concerning behaviors were related to the active shooter’s mental health, problematic interpersonal interactions, and leakage of violent intent.
7. For active shooters under age 18, school peers and teachers were more likely to observe concerning behaviors than family members. For active shooters 18 years old and over, spouses/domestic partners were the most likely to observe concerning behaviors.
8. When concerning behavior was observed by others, the most common response was to communicate directly to the active shooter (83%) or do nothing (54%). In 41% of the cases the concerning behavior was reported to law enforcement. Therefore, just because concerning behavior was recognized does not necessarily mean that it was reported to law enforcement.
9. In those cases where the active shooter’s primary grievance could be identified, the most common grievances were related to an adverse interpersonal or employment action against the shooter (49%). 10. In the majority of cases (64%) at least one of the victims was specifically targeted by the active shooter."
Posted by SNi at 1/20/2019 12:09:00 PM
Saturday, January 19, 2019
Source: Southwest Border Security: Additional Actions Needed to Better Assess Fencing's Contributions to Operations and Provide Guidance for Identifying Capability Gaps (70-page PDF)
"According to CBP, from fiscal year 2007 to 2015, CBP spent approximately $2.3 billion to deploy border fencing along the southwest border, and CBP will need to spend a substantial amount to sustain these investments over their lifetimes. Given these costs, developing metrics that measure the contributions of pedestrian and vehicular fencing to border security operations as part of a system of capabilities along the southwest border would provide Border Patrol with the best information available to inform and justify future investments in these assets against competing priorities and other investment opportunities. Further, as Border Patrol continues to take steps to implement its requirements management process for identifying TI and other operational requirements for border security operations, providing guidance to the appropriate officials within Border Patrol would help ensure that stepswithin the requirements process are followed by Border Patrol officials,and that they are clear about their roles and responsibilities in the process."
Posted by SNi at 1/19/2019 09:00:00 PM
Source: Diver filmed with huge great white: sharks must be 'protected not feared' Go to the link to see the full, un-cropped picture...
Posted by SNi at 1/19/2019 01:13:00 PM
Thursday, January 17, 2019
Monday, January 14, 2019
Saturday, January 12, 2019
Thursday, January 10, 2019
Wednesday, January 9, 2019
Source: Automated Vehicles: Comprehensive Plan Could Help DOT Address Challenges (39-page GAO PDF)
Posted by SNi at 1/09/2019 07:30:00 PM
Tuesday, January 8, 2019
"Conclusions: Medical marketing increased substantially from 1997 through 2016, especially DTC advertising for drugs and health services. Pharmaceutical marketing to health professionals accounted for most spending and remains high even with new policies to limit industry influence. Despite the increase in marketing over 20 years, regulatory oversight remains limited."
Posted by SNi at 1/08/2019 08:00:00 PM