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  1. 1741
    “…Poisson regression was used to adjust for demographics, economic conditions, secular time, and geographic factors to estimate the change in procedure rate associated with health reform by race/ethnicity and area income. …”
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    Massachusetts health reform and disparities in joint replacement use: difference in differences study
  2. 1742
    “…Comparison with non-project counties revealed secular improvement in most provinces, except new vaccine coverage was mostly higher in project counties. …”
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    Household survey analysis of the impact of comprehensive strategies to improve the expanded programme on immunisation at the county level in western China, 2006–2010
  3. 1743
    “…Prospective data collection using standardised protocols to explore potential sources of variation due to socio-economic circumstances, secular changes in growth/predictors of lung function and ethnicities within the South-Asian classification are urgently required.…”
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    Challenges in Collating Spirometry Reference Data for South-Asian Children: An Observational Study
  4. 1744
    “…There was a strong decreasing secular trend in CVD-related hospitalizations but no statistically significant effect of IDOCC. …”
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    Practice facilitation for improving cardiovascular care: secondary evaluation of a stepped wedge cluster randomized controlled trial using population-based administrative data
  5. 1745
    “…Our VEC counseling prototype aims at a secular goal of living on the earth with ways and harmony (安身以法以和) and an ultimate end to spiral up to the wisdom of living up to the way of heaven (天道) with mind and virtue (立命以心以德). …”
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    Virtue Existential Career Model: A Dialectic and Integrative Approach Echoing Eastern Philosophy
  6. 1746
    “…The study design is novel and strengthened by a phased approach across sites which allows for a built-in control mechanism and also reduces secular effects. Feedback of point prevalence data will be utilised to engage staff and improve compliance. …”
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    Avoiding inappropriate urinary catheter use and catheter-associated urinary tract infection (CAUTI): a pre-post control intervention study
  7. 1747
    “…RESULTS: The findings suggest that, at corresponding ages, more recent cohorts reported greater CAM (OR = 25.9, 95% CI: 20.0; 33.6 for Gen Xers vs. pre-World War) and chiropractic use than their predecessors (OR = 2.2, 95% CI: 1.7; 2.8 for Gen Xers vs. pre-World War). There was also a secular trend of increasing CAM use, but not chiropractic use, over time (period effect) across all ages. …”
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    Changes in the use practitioner-based complementary and alternative medicine over time in Canada: Cohort and period effects
  8. 1748
    “…The greater participation in leisure time physical activities and active commuting in each succeeding recent cohort was partially related to the secular trend of increasing participation in physical activities over time in the population. …”
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    Generational differences in patterns of physical activities over time in the Canadian population: an age-period-cohort analysis
  9. 1749
    “…A Joinpoint model was used to examine secular trends in age-adjusted thyroid cancer rates with the Joinpoint Regression Program Version 4.0.0. …”
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    Thyroid cancer: trends in incidence, mortality and clinical-pathological patterns in Zhejiang Province, Southeast China
  10. 1750
    “…Due to maturation of the postural control system and secular declines in motor performance, adolescents experience deficits in postural control during standing and walking while concurrently performing cognitive interference tasks. …”
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    Single- and Dual-Task Balance Training Are Equally Effective in Youth
  11. 1751
    “…BACKGROUND: The factors influencing pubertal timing have gained much attention due to a secular trend toward earlier pubertal onset in many countries. …”
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    The impact of the Wenchuan earthquake on early puberty: a natural experiment
  12. 1752
    “…Our aim was therefore to examine whether secular trends in the incidence and mortality of prostate cancer, and in prostatectomy rates, have recently changed in Switzerland. …”
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    Recent incidence and surgery trends for prostate cancer: Towards an attenuation of overdiagnosis and overtreatment?
  13. 1753
    “…CONCLUSION: The growth percentiles show that young South African urban black females are experiencing general but not central obesity due to a secular change which is faster in weight than height. …”
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    The prevalence of malnutrition and growth percentiles for urban South African children
  14. 1754
    “…Results evaluate the 1900–1951 birth cohorts; secular changes in the racial integration of schools since the 1950s, means results may not generalize to younger cohorts.…”
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    Differential associations between state-level educational quality and cardiovascular health by race: Early-life exposures and late-life health
  15. 1755
    “…The number of ambulance dispatches for injuries and major injuries was used to account for secular trends. Injury severity was classified by the dispatchers based on information from the 911 callers with a severity score on a scale of 1 to 8, where 1 is the most severe; minor injuries had a score of 7; injuries, 5; and major injuries, 3. …”
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    Association of Ambulance Use in New York City With the Implementation of the Patient Protection and Affordable Care Act
  16. 1756
    “…Further longitudinal studies are required to elucidate secular trends in opioid prescription practice.…”
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    3377 A cross-sectional analysis of opioid prescribing patterns among gynecologic oncologists using Medicare fee-for service provider utilization & payment data
  17. 1757
    “…Multivariable analyses were performed using logistic regression. Secular trend analyses were performed using linear regression. …”
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    Associations between echocardiographic manifestations and bacterial species in patients with infective endocarditis: a cohort study
  18. 1758
    “…INTRODUCTION: Turkey is constitutionally secular with a Muslim majority. There is no legal basis for limiting life-support at the end-of-life (EOL) in Turkey. …”
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    Factors affecting the attitudes and opinions of ICU physicians regarding end-of-life decisions for their patients and themselves: A survey study from Turkey
  19. 1759
    “…We aimed to report the secular trend in antiviral treatment uptake from 2007–2017, and to compare the effect of different nucleos(t)ide analogue (NA) initiation times (before vs. after HCC diagnosis) on survival. …”
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    Increasing antiviral treatment uptake improves survival in patients with HBV-related HCC
  20. 1760
    “…The estimated annual percentage changes (EAPCs) were calculated to quantify the secular trends of the burden of eating disorders. …”
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    Trends in the prevalence and disability-adjusted life years of eating disorders from 1990 to 2017: results from the Global Burden of Disease Study 2017
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