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Informed consent: requirements, exceptions

"Sign this DOC before we can start": Discussion Obtain


agreement Coercion-free
Exceptions to informed consent are WIPE: Waiver
Incompetent Privilege (therapeutic privilege) Emergency
Accuracy of test: sensitivity vs. specificity
seNsitivity of a test: related to the rate of false Negatives.
sPecificity of a test: related to the rate of false Positives.
Alternatively written:
seNsitive: No Non-Negatives.
sPecific: Puny Psuedo-Positives.
Alcohol withdrawal effects
"S#IT":
Shakes/ Seizures/ Sweats/ Stomach pains (n/v)
Hallucinosis (auditory)
Increased vitals/ Insomnia
Tremens (delirium tremens-the lethal part)
Pi: value to 31 decimal places
"How I want a drink, alcoholic of course, after the heavy
chapters involving quantum mechanics. One is, yes,
adequate even enough to produce some fun and pleasure
for an instant, miserably brief": The number of letters in
each subsequent word of these two sentences give the value
of pi to 3.141592653589793238462643383279
Alternatively: If only want first 6 decimal places, use the
sentence "How I wish I could calculate Pi! "
Hill criteria for causality

" 'Clowns Pursuing Epidemiology' Commonly Behind The


Silly Samples":
Consistency
Plausibility
Experimentation
Biological gradient
Coherence
Temporality
Strength of association
Specificity
Reliability
Random Error REduces REliability (REproducibility)
Error: type I (alpha) vs. type II (beta)
Type I (Alpha) Error: "There Is An Effect" where in reality
there is none
Cigarette smoke: major carcinogens
PANT:
Polynuclear aromatic hydrocarbons
Aromatic amines
Nitrosamines
Tar
Nicotine and Carbon monoxide are Non-Carcinogenic.
Suicide risk factors in order of risk
SOARS:
Top 6 risk factors in order of highest to lowest risk:
Serious previous attempt
Older than 45
Alcohol

Rage history
Sex (male)
Incidence vs. prevalence
Incidence: Initiate Infection In Interval.
Prevalence: Population's Percentage Positive.
Prevention: primary vs. secondary vs. tertiary
Primary: Predisposing factors decreased.
Secondary: Severity decreased.
Tertiary: Therapy, Training
Recall bias
REcall bias is a problem with REtrospective studies and is
based on ability to REmember.
Audit process
"As She Opened, Colin Inserted Excitedly":
Aim
Setting standards
Observe practice
Compare with standards
Implement change
Evaluate S
Poisson distribution formula
MNEMONIc: M to the Nth power times E to the Minus
nth Over N factorial Formula is: ((m^n) * (e^-n) ) / n!
Note: the factorial (!) at the end is an inverted lowercase
letter i.
Suicide risk factors

SAD PERSONS:
Sex: male
Age: young, elderly
Depression
Previous suicide attempts
Ethanol and other drugs
Reality testing/ Rational thought (loss of)
Social support lacking
Organized suicide plan
No spouse Sickness/
Stated future intent

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