15 Matching Annotations
  1. Apr 2026
    1. Treatment of superficial vein reflux (see Varicose Veins, above) has been shown to decrease the recurrence rate of venous ulcers. Where there is substantial obstruction of the femoral or popliteal deep venous system, superficial varicosities supply the venous return and should not be removed.

      Failure of venous insufficiency ulcerations to heal is most often due to inconsistent use of first-line treatment methods. Ongoing control of edema is essential to prevent recurrent ulceration; the use of compression stockings following ulcer healing is critical, with recurrence rates 2–20 times higher if compression stockings are not used

      Duplex ultrasound evaluation should assess blood flow direction, venous reflux, and venous obstruction, and include examination of the deep venous system, great saphenous vein (GSV), small saphenous vein (SSV) and its thigh extension (Giacomini vein), accessory saphenous veins, and perforating veins. Venography is recommended primarily in patients with post-thrombotic disease, especially when intervention is planned, as it provides greater anatomic detail than duplex ultrasonograph The examination also identifies patterns of disease that have treatment implications. Axial reflux is defined as uninterrupted retrograde flow from groin to calf and can occur in either superficial or deep systems. [4] Junctional reflux is limited to the saphenofemoral or saphenopopliteal junction, while segmental reflux occurs in a portion of a truncal vein. [4] Understanding whether reflux originates from superficial junctions versus deep venous incompetence fundamentally changes treatment planning, as superficial disease is amenable to ablation while deep disease typically requires conservative management Management of secondary varicose veins from post-thrombotic syndrome (PTS) is fundamentally different and more challenging. Compression therapy, lifestyle modifications, and symptom management form the cornerstone of PTS treatment. [4-8] Elastic compression stockings (20-30 mm Hg), leg elevation, weight loss, and exercise constitute the primary therapeutic approach Endovascular interventions for PTS—including percutaneous transluminal venoplasty and stenting—are reserved for select patients with significant iliofemoral obstruction who have failed conservative management. [7] These procedures require careful patient selection and standardized criteria. The role of superficial venous ablation in PTS patients with concomitant superficial reflux remains controversial and should be approached cautiously, as the underlying deep venous pathology may limit benefit

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  2. Apr 2024
    1. Unfortunately, regex syntax is not really standardized... there are many variants, which differ among other things in which "special characters" need \ and which do not. In some it's even configurable or depends on switches (as in GNU grep, which you can switch between three different regex dialects).
  3. Oct 2023
    1. Barzun, Jacques. “Opinion | Multiple Choice Flunks Out.” The New York Times, October 11, 1988, sec. Opinion. https://www.nytimes.com/1988/10/11/opinion/multiple-choice-flunks-out.html.

      Archived copy at https://web.archive.org/web/20231022192353/https://www.nytimes.com/1988/10/11/opinion/multiple-choice-flunks-out.html. Internet Archive.

      Barzun takes standardized multiple-choice tests to task.

      A version of this article appears in Barzun's book: Barzun, Jacques. Begin Here: The Forgotten Conditions of Teaching and Learning. University of Chicago Press, 1991. http://archive.org/details/begin-here-the-forgotten-conditions-of-teaching-and-learning.

    2. He pointed out that these questions penalize the more imaginative and favor those who are content to collect facts. Therefore, multiple-choice test statistics, in all their uses, are misleading.

      He = Banesh Hoffman

      This is tangentially similar to Malcolm Gladwell's claim that standardized testing for law school privileges certain types of thinkers over others, something which creates thinkers who are good at quick things with respect to time pressures rather than slower and more deliberate thinkers who are needed at higher level functions like the Supreme Court.

      See: The Tortoise and the Hare, S4 E2 of Revisionist History https://www.pushkin.fm/podcasts/revisionist-history/the-tortoise-and-the-hare

      testing imagination versus fact memorization/simple recall compared with thinking quickly under pressure or slowly with time and increased ability to reason

  4. Nov 2022
  5. Aug 2021
  6. Jan 2021
  7. Jul 2020
  8. Jul 2019
    1. his, too, is false. Indeed, the data from released national tests show conclusively that the students have the most difficulty with those items that require understanding and transfer, not recall or recognition.

      interesting...maybe this goes to show that educators as a whole are focusing more on rote memorization and not true application of learning

  9. Jul 2017
    1. Furthermore, the format of the test causes many educators to erroneously believe that the state test or provincial exam only assesses low-level knowledge and skill. This, too, is false. Indeed, the data from released national tests show conclusively that the students have the most difficulty with those items that require understanding and transfer, not recall or recognition.
  10. Jan 2017
    1. Sara Holbrook had two of her poems used on the Texas state assessment tests. She verifies what I thought as a student. The questions are ridiculous. The test makers seem to think that their interpretation of a work is the only interpretation, and that they can read the author's mind and know their intent.

      "Texas paid Pearson $500 million bucks to administer the tests". Is that right? Was that for just one year? What else could we do with $500 million?

      She mentions a study showing that the results of another standardized test could be predicted pretty well using just three data points about families in the community: the percentage with income over $200K; the percentage in poverty; the percentage with bachelor's degrees. So the standardized test tells you nothing that you can't guess by looking at local incomes and education levels.

      What a scam.