926 resultados para common sense
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Introduction: It is our impression that many biomechanical studies invest substantial resources studying the obvious: that more and larger metal is stronger. The purpose of this study is to evaluate if a subset of biomechanical studies comparing fixation constructs just document common sense. Methods: Using a web-based survey, 274 orthopaedic surgeons and 81 medical students predicted the results of 11 biomechanical studies comparing fracture fixation constructs (selected based on the authors' sense that the answer was obvious prior to performing the study). Sensitivity, specificity, and accuracy were calculated according to standard formulas. The agreement among the observers was calculated by using a multirater kappa, described by Siegel and Castellan. Results: The accuracy of predicting outcomes was 80% or greater for 10 of 11 studies. Accuracy was not influenced by level of experience (i.e., time in practice and medical students vs. surgeons). There were substantial differences in accuracy between observers from different regions. The overall categorical rating of inter-observer reliability according to Landis and Koch was moderate (k = 0.55; standard error (SE) = 0.01). Conclusion: The results of a subset of biomechanical studies comparing fracture fixation constructs can be predicted prior to doing the study. As these studies are time and resource intensive, one criterion for proceeding with a biomechanical study should be that the answer is not simply a matter of common sense. © 2014 Elsevier Ltd. All rights reserved.
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We propose an index of climate change based on practical climate indicators such as heating degree days and the frequency of intense precipitation. We find that in most regions the index is positive, the sense predicted to accompany global warming. In a few regions, especially in Asia and western North America, the index indicates that climate change should be apparent already, but in most places climate trends are too small to stand out above year-to-year variability. The climate index is strongly correlated with global surface temperature, which has increased as rapidly as projected by climate models in the 1980s. We argue that the global area with obvious climate change will increase notably in the next few years. But we show that the growth rate of greenhouse gas climate forcing has declined in recent years, and thus there is an opportunity to keep climate change in the 21st century less than “business-as-usual” scenarios.
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Reprint of original ed. with imprint: New York, Alliance, 1958.
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Employment demands protection.--Why any exclusive policy?--The free trade trap.--Protection enriched us, not free trade.--Free trade poisons patriotism.--Kill industries and commerce dies.--Theories are dangerous guides.--Industrial displacements spell ruin.--Independence the only policy.--The fatal policy of laissez faire.--"Cheap and nasty."--Our unearned increment.--Free trade a spiteful mistress.--The fertility of character.--We cultivate weakness, not strength.--Britons can manage British business.--Second markets.--The country's average wage.--If trusts, then British trusts.--Labour's true interests.--Germany and her navy.--Class-hatred is suicide.--The tax on wheat.--The little-Englander rat.--The seeds of decay.--Education and patriotism.--Intemperate legislators.--National strongholds.--Futile scheming.--The balance of power.--The suffragette among nations.--Naval warfare in the future.--Universal service.--Broken reeds.
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Tryon and Charvat
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Mode of access: Internet.