The threat of catastrophic incidents-from nonroutine events to extreme ones, such as Dragon-Kings (DK), Black Swans (BS), and Gray Swans-induces precautionary initiatives that, before the fact, may encounter public resistance or after the fact recriminations. This study develops three aspects of these events: (1) generating mechanisms, (2) the statistical distributions of near and far-term consequences, and (3) the aggregation of expert opinions about assumptions, mechanisms, and consequences that informs science-policy. This study shows how causal analysis should account for the: (1) nonlinear catastrophic behaviors that generate predictions, (2) common and power-law distributions of the consequences, (3) self-organizing criticality and self-similarity, and (4) feedbacks and couplings between mechanisms that produce snaps, crackles, and pops as precursor, warning signals. The distribution of the consequences associated with catastrophic incidents has longer and fatter right tails than those expected from failure analysis based on known nonroutine events. DK are extreme events that deviate from these fat tail distributions, have a much higher frequency than expected, and can be predicted unlike BS. This shows how to combine divergent expert individual beliefs over assumptions, causation, and results, and a paradox that affects agreements obtained by majority rule.
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http://dx.doi.org/10.1002/gch2.201700021 | DOI Listing |
J Clin Neurosci
December 2024
Department of Neurosurgery, Zucker School of Medicine at Hofstra, Long Island Jewish Medical Center and North Shore University Hospital, Northwell Health, Manhasset, NY, USA.
Introduction: Safety net hospitals (SNH) serve a large proportion of patients with Medicaid or without insurance. However, few prior studies have addressed the impact of SNH status on outcomes following anterior cervical discectomy and fusion (ACDF) or posterior cervical decompression and fusion (PCDF) for cervical spondylotic myelopathy (CSM). The aim of this study was to assess the association between SNH status outcomes following ACDF or PCDF for CSM.
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November 2024
1Department of Neurosurgery, Yale University School of Medicine, New Haven, Connecticut; and.
Objective: Nutritional status has been shown to impact patient outcomes across several neurosurgical procedures. However, few prior studies have assessed associations between preoperative nutritional status and outcomes in elderly patients undergoing subdural hematoma evacuations. The aim of this study was to identify associations between preoperative nutritional status and short-term outcomes in patients aged 65 years and older undergoing subdural hematoma evacuation.
View Article and Find Full Text PDFPhotobiomodul Photomed Laser Surg
October 2024
Oral Biology, Surgery and Biomedical Engineering, University at Buffalo, New York, New York, USA.
This study aimed to review the current body of literature on underexplored areas of photobiomodulation (PBM) for preventing and/or treating oral adverse events. Recent studies suggest that PBM may offer potential benefits in managing cancer-related toxicities other than oral mucositis. Nevertheless, further research to establish conclusive evidence is still missing.
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January 2025
Department of Neurosurgery, Yale University School of Medicine, 333 Cedar Street, New Haven, CT, 06510, USA.
Clin Neurol Neurosurg
November 2024
Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address:
Objective: Brain metastases (BM) constitute the most common intracranial tumor in adults. Prior literature indicates the 10-year atherosclerotic cardiovascular disease (ASCVD) risk score is associated with increased risk of cancer, potentially attributable to shared risk factors. Understanding the role of ASCVD risk scores in BM may help optimize their care and inform clinical decision-making.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!