The researchers also looked specifically at the trends -- in other words, whether access to care was getting worse before the health care law's implementation, and, if so, whether that deterioration stopped.
40 This was not considered feasible for routine implementation in primary care since acute deterioration is hard to identify from the record and many injections take place in secondary care.
A recent work has also shown that performance may decline as surgeons approach seniority 37; patient-adjusted and surgeon-adjusted control charts have the capacity to identify this deterioration and supplement the implementation of continuing education programmes.
By using change scores, it is possible to identify improvement or deterioration in mental state after the implementation of a coercive intervention.
As already mentioned, finite word-length effects are of paramount importance for digital filter design, given that numerical implementations of the related algorithms may suffer from deterioration in performance.
Intuitively, this suggests that the implementation of reforms depends more on the rate of deterioration of the labour market rather than on its status.
Furthermore, the choice of the Max-SNR algorithm for implementation simplifies the architecture of this block without significant deterioration of the performance of the whole system.
UNICEF in partnership with the Department of Health has over the years managed implementation of national high impact interventions to prevent further deterioration in micronutrient deficiencies in South Africa, especially amongst the most vulnerable children and women.
This observational study of MICU transfer shows that transfer by MICU is not associated with major deterioration in patient status and that the implementation of a transport protocol with a mobile Intensive Care Unit has led to an improvement in quality of care on the road, compared to the former way of transfer.
Conclusion: At this institution, implementation of the fast-track pathway was associated with a deterioration of glucose tolerance.
Details on the implementation of this model are discussed in Section 3. The deterioration of mechanical components subject to fatigue leads to a decrease of reliability.
