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ients [3.1%] in 2016 vs 59 of 2718 patients [2.2%] in 2019; P for trend = .07). Difference-in-difference analysis demonstrated that centers that adopted TCAR had a 10% decrease in the likelihood of MACE at 12 months after TCAR adoption vs if those centers had continued to perform CEA alone (odds ratio, 0.90; 95% CI, 0.81-0.99; P = .04). This comparative-effectiveness study of a cohort of patients who underwent TCAR or CEA found that availability of TCAR at a hospital was associated with a decrease in the likelihood of perioperative MACE

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mathematics anxiety. Modifications of a paramedic program curriculum can improve student's ability to think critically and to overcome medication dosage problems. The World Health Organization recommends that 1% to 3% of a country's population should donate blood to meet its demand and should focus on young people to achieve 100% voluntary blood donation. The aim of this study was to assess voluntary blood donation among Bahir Dar University students by using an integrated behavioral model. An institution-based cross-sectional study