Objective. To examine the impact that having pharmacy students on internal medicine patient care teams had on inappropriate prescribing of acid suppressive therapy (AST). Methods. In this observational cohort study, internal medicine patients who received care from teams with a pharmacy student were compared to patients who received care from teams without a pharmacy student. The primary endpoint was proportion of patients on inappropriate AST. Results. The overall proportion of patients receiving inappropriate AST was 24.4%. There was no significant difference between patients seen by teams with a pharmacy student and those seen by teams without a pharmacy student. The proportion of patients discharged with new inappropriate AST prescriptions was lower after pharmacy student review, though not significantly (6.1% vs. 9.4%, p 5 0.07). Pharmacy student reviews shortened the median duration of inappropriate AST by 1.5 days (6 vs. 8.5 days, p 5 0.025). Conclusions. Patient care teams on which pharmacy students performed medication reviews had a reduced duration of inappropriate use of AST in patients.

We present a new universal portfolio algorithm that achieves almost the same level of wealth as could be achieved by knowing stock prices ahead of time. Specifically the algorithm tracks the best in hindsight wealth achievable within target classes of linearly parameterized portfolio sequences. The target classes considered are more general than the standard constant rebalanced portfolio class and permit portfolio sequences to exhibit a continuous form of dependence on past prices or other side information. A primary advantage of the algorithm is that it is easily computable in a polynomial number of steps by way of simple closed-form expressions. This provides an edge over other universal algorithms that require both an exponential number of computations and numerical approximation.

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which I have witnessed and administered anesthetics. If they be common occurrences in Cleveland, the Lakeside Hospital is in sore need of competent anesthetists. In Akron we find one nurse sufficient while we administer the anesthetic. In my own practice, giving several anesthesias daily, only rarely have I required more than one nurse, and equally rarely does she do more than stand beside the patient. An orderly present is even more rare. The only preliminary hypodermic is morphin Va grain, atropin M.50 and often none at all. Only twice during the present year were several assistants required to hold the patient; in each case the patient was a hysterical woman who fought as soon as she entered the anesthetic room and before any anesthetic had been given.During my practice I have witnessed only two cases of "vomiting in the halls" and one in the elevator. If it occurs frequently in Lakeside Hospital, I repeat, that institution requires competent anesthetists. My experience as described is the same as that of the other Akron anesthetists.Any anesthetic has had and will always have its good and bad features. In endeavoring to create favor for gas and the opposite for ether, Dr. Warner has gone to extremes. We shall continue to use ether satisfactorily.Finally, ether when properly given will not cause vomiting in from 70 to 80 per cent, of cases, a percentage in every way the equal of that of gas if the truth were admitted and not concealed.