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BACKGROUND Rates of death from cardiovascular and cerebrovascular diseases have been steadily declining over the past few decades. Whether such declines are occurring to a similar degree for common disorders such as acute myocardial infarction, heart failure and stroke is uncertain. We examined recent national trends in mortality and rates of hospital(More)
BACKGROUND There is a wide practice gap between optimal and actual care for patients with acute myocardial infarction in hospitals around the world. We undertook this initiative to develop an updated set of evidence-based indicators to measure and improve the quality of care for this patient population. METHODS A 12-member expert panel was convened in(More)
OBJECTIVE The aim of this study was to compare adherence to opioid prescribing guidelines and potential opioid misuse in patients of resident vs attending physicians. DESIGN Retrospective cross-sectional study. SETTING Large primary care practice at a safety net hospital in New England. SUBJECTS Patients 18-89 years old, with at least one visit to the(More)
OBJECTIVE To identify the causes of blindness at the Ida Rieu school for the blind and deaf, Karachi, Pakistan. METHODS A cross sectional study was conducted at the Ida Rieu School for the blind and deaf. The data collected from medical record of students was entered into the WHO/PBL eye examination form for children with blindness and low vision. (More)
Little is known about variability in primary care providers' (PCPs) adherence to opioid-monitoring guidelines for patients. We examined variability of adherence to monitoring guidelines among PCPs and ascertained the relationship between PCP adherence and opioid misuse by their patients. We included primary care patients receiving long-term opioids (≥3(More)
This paper presents a design of microphone array system that is intended for conference room applications. Different microphone array configurations have been considered in this work to demonstrate the importance of array layout. The filter-and-sum broadband beamformer is designed by using weighted least square (WLS) optimization method. As existing(More)
Grain losses of wheat as affected by different harvesting and threshing techniques were studied at Adaptive Research Farm, Vehari during 2010-11. Three methods of harvesting and threshing i.e. i) manual plus thresher ii) reaper plus thresher and iii) combine harvester were used in the study. The data revealed that different harvesting and threshing(More)
In this issue, you will find a paper by Matthias et al. (2014) titled ‘Communicating about Opioids for Chronic Pain: A Qualitative Study of Patient Attributions and the Influence of the Patient-Physician Relationship’. These investigators analysed audio recordings of encounters between five primary care physicians and their 40 patients with chronic(More)
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