OBJECTIVE To explore how different practices responded to the Data-driven Quality Improvement in Primary Care (DQIP) intervention in terms of their adoption of the work, reorganisation to deliver the intended change in care to patients, and whether implementation was sustained over time. DESIGN Mixed-methods parallel process evaluation of a cluster trial, reporting the comparative case study ...

BACKGROUND Growing imperatives for safety, quality and responsible resource allocation have prompted renewed efforts to identify and quantify harmful or wasteful (low-value) medical practices such as test ordering, procedures and prescribing. Quantifying these practices at a population level using routinely collected health data allows us to understand the scale of low-value medical practices, ...

Purpose. The study aimed to determine the extent of and factors influencing the prescribing of injections for the treatment of mild/moderate community acquired pneumonia (CAP) in Mongolia. Methods. Questionnaires were developed and administered to medication providers (34 Pharmacists, 27 pharmacy technicians) and prescribers (22 general doctors and 49 medical specialists) working in Mongolia. R...

We describe a computer search for simple designs with prescribed automor-phism groups yielding designs with parameter sets 7-In several of these cases we are able to determine the exact number of isomorphism types of designs with that prescribed automorphism group. c

Interprofessional learning is a key component of today's health sciences education. Within a two-course series in dental pharmacology and therapeutics, a dental curriculum was revised to provide an interprofessional activity to expose dental students to a community pharmacy setting. The objectives of this activity were to augment students' learning about drug laws and prescription writing, as w...

The most recent approaches of multi-objective optimization constitute application of meta-heuristic algorithms for which, parameter tuning is still a challenge. The present work hybridizes swarm intelligence with fuzzy operators to extend crisp values of the main control parameters into especial fuzzy sets that are constructed based on a number of prescribed facts. Such parameter-less particle ...

In the present work, an inverse analysis of combined radiation and laminar forced convection heat transfer in a two-dimensional channel with variable cross sections is performed. The conjugate gradient method is used to find the temperature distribution over the heater surface to satisfy the prescribed temperature and heat flux distributions over the design surface. The fluid is considered to b...

This paper considers an important model of boundary value problem with a condition at infinity namely combined free and forced convection over a plane of arbitrary shape embedded in a fluid-saturated porous medium; this model admits dual solutions, and uses a technique, which is to some extent modification of homotopy analysis method (HAM), in order to obtain dual solutions analytically with hi...