Window Cornice

Article: Learning the basics to making a wooden window cornice

Additional supporting information may be found in the online version of this article:One may be tempted to conclude, as do both Fisher and Skinner and Barnato, that the 365-day mortality odds ratio indicates that there is little difference in quality between more aggressive and less aggressive hospitals. We believe this would be a mistake. The aim of surgery is to correct a problem that requires a surgical intervention while causing as little morbidity and mortality as possible. Surgery, for the procedures we studied, is not performed with the expectation that it will alter the course of one's life span beyond the scope of that surgical condition. Given that we demonstrated that the gains in 30-day survival are stable, the 30-day mortality benefit is not trivial. The attributable fraction (MacMahon and Trichopoulos 1996) of deaths is 7.5 percent for a change in aggressiveness from the 25th to the 75th percentile. In other words, moving from the 25th to 75th percentile would save 7.5 percent of deaths that occur at the lower percentile of aggressiveness. Furthermore, we have only reported these results in the middle of the distribution for aggressiveness. Larger benefits occur when comparing greater changes in aggressiveness (for a normal distribution the 25th and 75th percentiles are separated by 1.35 standard deviations, but the 5th and 95th percentiles are separated by about 3.3 standard deviations).Address correspondence to Jeffrey H. Silber, M.D., Ph.D., Professor, Department of Pediatrics and Anesthesiology and Critical Care, The University of Pennsylvania School of Medicine, Philadelphia, PA 19104-3313; e-mail: silberj@wharton.upenn.edu. Jeffrey H. Silber, M.D., Ph.D., Professor, is with the Department of Health Care Management, The Wharton School, Philadelphia, PA.Jeffrey H. Silber, M.D., Ph.D., Director, is also with the Center for Outcomes Research, The Children's Hospital, Philadelphia, PA. Robert Kaestner, Ph.D., Professor, is with the Department of Economics, Institute of Government and Public Affairs, The University of Illinois, Chicago, IL.In addition, it is important to understand why the odds ratio associated with 365-day mortality is smaller (closer to 1) than the 30-day odds ratio (see Table 4). The crude death rates in our overall analysis went from about 4.5 percent at 30 days to 13.9 percent at 365 days; survival by elderly patients on average declined, in absolute terms, 9.4 percent between day 30 and day 365. This mortality decline, which occurred at the same rate for patients treated at both more and less aggressive hospitals, moved the odds ratio comparing patients from more aggressive to less aggressive hospitals from 0.93 in the 30-day analysis to 0.99 in the 365-day analysis. Extending this logic, we note that the odds ratio will always approach 1.0 as the time period is extended, because all patients eventually die. Suppose we had used a sample of younger patients with a lower competing risk of death. If the 30-day mortality odds ratios between more and less aggressive hospitals were the same as in our study, then the 365-day odds ratio would have been more similar to the 30-day results. In both cases more aggressiveness would have been associated with equally better quality of care.Decorators willing to spend some time creating a customized and professional looking wooden cornice will discover just how cost efficient the process is and will be thrilled just knowing how they saved hundreds, if not more on just one simple cornice. Once the process is learned, it can be repeated over and over again as they can just refer to the e-book that was purchased at http://easycornice.com. With this E-Book, you will learn how to easily create your own customized upholstered wooden cornice through step-by-step instructions with detailed pictures that show you how to make your cornice, from A-Z. The instructions will also reveal the planning stage prior to your first step of the actual cornice making process.ACKNOWLEDGMENTSREFERENCESGREAT SHAKES With flavors like Bamboo Curry, the Chef's Salt Collection ($40 for 4; regionalbest.com) gives any dish a gourmet feel.Finally, a likely point of agreement between the authors and discussants follows. It would seem that the recent federal emphasis on Comparative Effectiveness research is required if we are to have any chance of achieving a careful reduction in resource use that maintains the quality of our health care.

Decorators willing to spend some time creating a customized and professional looking wooden cornice will discover just how cost efficient the process is and will be thrilled just knowing how they saved hundreds, if not more on just one simple cornice. Once the process is learned, it can be repeated over and over again as they can just refer to the e-book that was purchased at http://easycornice.com. With this E-Book, you will learn how to easily create your own customized upholstered wooden cornice through step-by-step instructions with detailed pictures that show you how to make your cornice, from A-Z. The instructions will also reveal the planning stage prior to your first step of the actual cornice making process.

Author: Josephine Monty