Kicking off the Year in Review for #PICUQI and #PedsICU #MedEd #CCC50 Search strategy included a review of ALL tables of contents of major pediatric and critical care journals, PUBMED search, key collaborative search, asking on @twitter and discussion with experts in the fields.

First up, discussion of #PICUQI #CCC50.
First up by @ndean75, “The Late Rescue Collaborative: Reducing non-ICU arrests” in @PedCritCareMed Dean & colleagues saw decreased rates of non-ICU arrests & increased participation through @AAP #MOCPart4. #PICUQI #CCC50
https://t.co/PYcz22MA6x
Editorial by @pccm_doc: https://t.co/1B8E1iXUxP
@wolfe_HA @pediRESQ in @PQS_LWW used a plus/delta approach to assess cold debriefs and found commonly reported barriers to be lack of time, financial support, or interest. Do you do cardiac arrest debriefs at your center? What are your barriers? #PICUQI #CCC50
@mgaies @pc4quality in @PedCritCareMed found the incidence of thrombosis 2%, CLABSI was 1%. Significant risk factors for thrombosis and infection were younger age, greater surgical complexity, and total catheter days. #PICUQI #CCC50
https://t.co/Ht8ADvO8VD

More from Society

I've seen many news articles cite that "the UK variant could be the dominant strain by March". This is emphasized by @CDCDirector.

While this will likely to be the case, this should not be an automatic cause for concern. Cases could still remain contained.

Here's how: 🧵

One of @CDCgov's own models has tracked the true decline in cases quite accurately thus far.

Their projection shows that the B.1.1.7 variant will become the dominant variant in March. But interestingly... there's no fourth wave. Cases simply level out:

https://t.co/tDce0MwO61


Just because a variant becomes the dominant strain does not automatically mean we will see a repeat of Fall 2020.

Let's look at UK and South Africa, where cases have been falling for the past month, in unison with the US (albeit with tougher restrictions):


Furthermore, the claim that the "variant is doubling every 10 days" is false. It's the *proportion of the variant* that is doubling every 10 days.

If overall prevalence drops during the studied time period, the true doubling time of the variant is actually much longer 10 days.

Simple example:

Day 0: 10 variant / 100 cases -> 10% variant
Day 10: 15 variant / 75 cases -> 20% variant
Day 20: 20 variant / 50 cases -> 40% variant

1) Proportion of variant doubles every 10 days
2) Doubling time of variant is actually 20 days
3) Total cases still drop by 50%

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Rig Ved 1.36.7

To do a Namaskaar or bow before someone means that you are humble or without pride and ego. This means that we politely bow before you since you are better than me. Pranipaat(प्राणीपात) also means the same that we respect you without any vanity.

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Surrendering False pride is Namaskaar. Even in devotion or bhakti we say the same thing. We want to convey to Ishwar that we have nothing to offer but we leave all our pride and offer you ourselves without any pride in our body. You destroy all our evil karma.

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We bow before you so that you assimilate us and make us that capable. Destruction of our evils and surrender is Namaskaar. Therefore we pray same thing before and after any big rituals.

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तं घे॑मि॒त्था न॑म॒स्विन॒ उप॑ स्व॒राज॑मासते ।
होत्रा॑भिर॒ग्निं मनु॑षः॒ समिं॑धते तिति॒र्वांसो॒ अति॒ स्रिधः॑॥

Translation :

नमस्विनः - To bow.

स्वराजम् - Self illuminating.

तम् - His.

घ ईम् - Yours.

इत्था - This way.

उप - Upaasana.

आसते - To do.

स्त्रिधः - For enemies.

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अति तितिर्वांसः - To defeat fast.

मनुषः - Yajman.

होत्राभिः - In seven numbers.

अग्निम् - Agnidev.

समिन्धते - Illuminated on all sides.

Explanation : Yajmans bow(do Namaskaar) before self illuminating Agnidev by making the offerings of Havi.

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