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Schoonhoven et al. (2002b) compared the Norton, Braden and Waterlow scores for 1229 patients admitted to one of two acute hospitals and found that none of them was able to satisfactorily predict all patients who developed pressure ulcers. They suggest that this is because the components of the calculators are based on clinical observation rather than prognostic research. Papanikolaou et al. (2002) undertook secondary analysis of data collected for a prospective study of 213 inpatients and determined that a modi ed version of the Waterlow Score was more accurate than the original but only in the case of the speci c patient group on whom it was tested. The researchers suggest that larger studies of high-quality data are necessary in order to nally determine more accurately the most relevant factors to include in a risk calculator. Despite the criticisms that can be made of the risk calculators, there is bene t in using a systematic method of assessing and identifying patients at risk of pressure ulcer development. Flanagan (1997) stresses the importance of regular assessment of patients rather than just doing one initial assessment. It should also be noted that once a patient is identi ed as being at risk, appropriate preventive action must follow. Failure to do so would be a failure in the duty of care that all nurses have to their patients. However, many otherwise normal executives have a pathological aversion to math. This is not just unfortunate, it is dysfunctional. Some intuition about numbers, counting, and mathematical ability is basic to almost all animals. An approximate number sense is essential to brute survival: This is how birds nd berry-rich (many) versus berry-poor patches of berries. This is how primates traveling as a couple know not to attack a gang of six. People use math to make decisions every day. We rely on our basic number sense to choose which subway car to ride in or which grocery line to wait in (based on a quick estimate of the number of people). In the early stages of his career, Charles Darwin wasn t much of a mathematician. In his autobiography, he writes that he studied math as a young man but also remembers that it was repugnant to me. Darwin ultimately came around concluding at the end of his autobiography that he wished he had learned the basic principles of math, for men thus endowed seem to have an extra sense. 39 A new study ranking the 200 best and worst jobs in the United States by CareerCast.com ranked mathematician the best job (lumberjack was the worst) according to ve criteria inherent to every job: environment, income, employment outlook, physical demands, and stress.40 In an age where you need to be numerate to do almost anything (from building bridges to conquering disease), governments anxiously compare their performance in mathematics with that of competitor nations. 41 Math has some surprising uses. Math has helped add clarity to the existential question of how long we humans will exist. Princeton astrophysicist J. Richard Gott III, working only semi tongue-in-cheek, piggybacks on the Copernican method (i.e., we humans are not privileged observers of the universe we don t occupy a particularly unique place in space or time) to calculate that our species should last for at least another 5,100 years but less than 7.8 million years.42 Gott begins with the assumption that you and I, not living in a special time, are probably living during the middle 95 percent of the ultimate duration of our species. In other words, we re probably living neither during the rst 2.5 percent nor during the last 2.5 percent of all the time that human beings will have existed. l 5 2 L Icy
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