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Lomacompetencydictionarypdf

No Dummy, Inc.: Supporting Projects, Tools, and People. Other Workforce Development Literature, Competency Models, and. We now have a comprehensive national toolkit to assist the development of. • A bibliography of competency-based training in the.
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PDF 5595-5328 . Back to the top. Cost: $1.45 | 5.00 MB. Workers should be able to act as independent, self-reliant, and effective problem solvers.. PDF Create a PDF from any browser window.A randomised trial of apixaban versus warfarin plus ASA and enoxaparin in patients with mechanical aortic valves.
Atrial fibrillation (AF) in patients with aortic stenosis increases with age, is highly prevalent in primary care, and is associated with an increased risk of ischaemic stroke. Oral anticoagulation (OAC) with warfarin reduces the risk of stroke and death in AF, but is not widely prescribed. The non-vitamin K antagonist oral anticoagulants (NOACs) are increasingly being used for stroke prevention in AF and may improve compliance and reduce haemorrhage. This study aimed to compare the safety and efficacy of apixaban 2.5 mg twice daily with warfarin plus aspirin and enoxaparin in patients with aortic stenosis and AF. The study was designed as a multicentre, open-label, randomised, parallel-group study with a 6-month follow-up. Patients aged 50 years or older were eligible to enrol if they had NYHA class II-IV heart failure and an aortic valve prosthesis. Patients were randomised (1:1) to receive apixaban or warfarin (adjusted to an INR of 2.0-3.0) plus enoxaparin for at least 30 days. The study endpoint was primary efficacy (ischaemic stroke, transient ischaemic attack, clinically important embolism, systemic embolism, bleeding, and other serious adverse events), assessed at 6 months by two masked, independent endpoints committees. Safety endpoints were bleeding events and thrombolysis in myocard

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