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I am very confused. I havent really looked at my phone for a while not really since I woke up, and that was looking for the snooze area of the screen, and I just realized somethingEspecially since it is in the same style as my other backdrop what it was before, and it requires the pressing of a good numbe of buttons to change things. And to change the settings, you must press and hold the screen on my smartphone, choose live wallpapers, scroll down to the app and choose it, and then hit settings on screen, and then scroll to the picture that you want. While I dont remember doing such things myself, I have had a number of conversations with Lexy about how I shouted/conversed in my sleep. Last time I was home, she and I and the rest of the family had a laugh about the fact that she woke up to me talking about something, and when she tried to tell me that she was sleeping, and couldnt this wait until the morning?I snapped back SHUT UP! before falling silent myself. One summer when Lexy was working in a park, whether this was her Ranger year or the following year I dont remember, but the family went up to visit and stay in the park/neighboring park, and the place we were at was more of a lodge than a campsite, with a building with one larger bed and one bunk bed. This is important to the story. This isnt just me lording to the internet blogging community that so and so many years ago, I won the top bunk from my sister. I had according to her crawled down the ladder, blankets trailing after me, walked across the little room to the large bed, and started patting down read: smacking that side of teh bedthe side she was onmuttering to myself that Emma had said that it was there, why would she say it was there, but she said it was there. She told me to go back to bed when she realized what had happened, and I climbed back into the bunk and went back to non walkin or talking sleep. At rangers ranger camp for 17 year olds, check it out, it was theorized that I was sleep walking, as I always had dirt in my bed no matter how careful I was of brushing all dirt from myself, and pretty much proven when one of the girls who slept in the room right by one of the doors saw me standing by the door, just looking out the window.

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Despite the emphasis on evidence based medicine, unsafe or ineffective medical practices continue to be applied, because of patient demand for tests or treatments, because of failure to access information about the evidence, or because of the rapid pace of change in the scientific evidence. For example, between 2003 and 2017, the evidence shifted on hundreds of medical practices, ranging from whether hormone replacement therapy was safe to whether babies should be given certain vitamins to whether antidepressant drugs are effective in people with Alzheimer's disease. Even when the evidence is unequivocally against a treatment, it usually takes ten years for other treatments to be adopted. In other cases, significant change can require a generation of physicians to retire or die, and be replaced by physicians who were trained with more recent evidence. Physicians may also reject evidence which conflicts with their anecdotal experience or because of cognitive biases for example, a vivid memory of a rare but shocking outcome the availability heuristic, such as a patient dying after refusing treatment. They may overtreat to "do something" or to address a patient's emotional needs. They may worry about malpractice charges based on a discrepancy between what the patient expects and what the evidence recommends. They may also overtreat or provide ineffective treatments because the treatment feels biologically plausible. The Berlin questionnaire and the Fresno Test are validated instruments for assessing the effectiveness of education in evidence based medicine. These questionnaires have been used in diverse settings. A Campbell systematic review that included 24 trials examined the effectiveness of e learning in improving evidence based health care knowledge and practice.

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pdfNational Transportation Safety BoardWashington, D. C 20594Safety Recommendationhk December 13, 1995In Reply Refer To: H 95 452The April 1995 National Transportation Safety Board investigative conference Mobile Collision Warning Technology for Low Visibility bw Awareness Collisions observed that the tail lamp low luminance of 2 18 candela does not increase the visibility of a vehicle in typical daylight fog conditions. Flasher lamps have a luminance of 80 300 candela. Researchers indicated that in daylight when the nominal visibility range of a vehicle is 300 feet, the use of flasher lamps with a luminance of 80 candela can increase the visibility range to 450 feet. The Safety Board concluded that the use of four way hazard flashers can increase the visibility of stopped or slow moving vehicles in fog conditions. The increased visibility allowed driver 5 to see and avoid a collision with the rear of vehicle 4.