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Objective To evaluate the impact of implementing a high sensitivity assay for cardiac troponin I on long term outcomes in patients with suspected acute coronary syndrome. Design Secondary observational analysis of a stepped wedge, cluster randomised controlled trial. Setting 10 secondary and tertiary care centres in Scotland, UK. Participants 48 282 consecutive patients with suspected acute coronary syndrome. Myocardial injury was defined as any high sensitivity assay result for cardiac troponin I >99th centile of 16 ng/L in women and 34 ng/L in men. Intervention Hospital sites were rando...

THE House of Representatives (HOR) is taking the lead in passing legislation that will ensure that the country's adoption of digital technologies is responsive, inclusive, and forward-thinking as the House has long recognized the power of digitalization to transform the nation. This was stressed by Quezon City First District Congressman…

"The cornerstone of the open-source philosophy is that the recipients of technology should have access to all its building blocks..." writes the European Organization for Nuclear Research, "in order to study it, modify it and redistribute it to others." This includes mechanical designs, schematics ...

Objective To determine whether patient-surgeon gender concordance is associated with mortality of patients after surgery in the United States. Design Retrospective observational study. Setting Acute care hospitals in the US. Participants 100% of Medicare fee-for-service beneficiaries aged 65-99 years who had one of 14 major elective or non-elective (emergent or urgent) surgeries in 2016-19. Main outcome measures Mortality after surgery, defined as death within 30 days of the operation. Adjustments were made for patient and surgeon characteristics and hospital fixed effects (effectively compari...

Objective To investigate the effectiveness of primary covid-19 vaccination (first two doses and first booster dose within the recommended schedule) against post-covid-19 condition (PCC). Design Population based cohort study. Setting Swedish Covid-19 Investigation for Future Insights—a Population Epidemiology Approach using Register Linkage (SCIFI-PEARL) project, a register based cohort study in Sweden. Participants All adults (≥18 years) with covid-19 first registered between 27 December 2020 and 9 February 2022 (n=589 722) in the two largest regions of Sweden. Individuals were followed ...