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1

Hu, Jianhui, and David R. Nerenz. "Performance of Multihospital Health Systems’ Flagship Hospitals in the CMS Star Rating Program." Journal of Hospital Medicine 15, no. 7 (2020): 407–10. http://dx.doi.org/10.12788/jhm.3421.

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Using the Hospital Compare overall hospital quality star ratings and other publicly available data on acute care hospitals, we examined star ratings for the flagship hospitals of a set of multihospital health systems in the United States. We compared star ratings and hospital characteristics of flagship and nonflagship hospitals across and within 113 health systems. The system flagship hospitals had significantly lower star ratings than did nonflagship hospitals, and they did not generally have the highest star ratings in their own systems. Higher teaching intensity, larger bed size, higher un
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2

Schmitt, Matt. "Multimarket Contact in the Hospital Industry." American Economic Journal: Economic Policy 10, no. 3 (2018): 361–87. http://dx.doi.org/10.1257/pol.20170001.

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Hospitals in the United States increasingly belong to multihospital systems that operate in numerous geographic markets. A large literature in management and economics suggests that competition between firms may be softened as a result of multimarket contact—i.e., firms competing with one another in multiple markets simultaneously. Exploiting plausibly exogenous variation in multimarket contact generated by out-of-market consolidation, I find that increases in multimarket contact over the 2000–2010 period led to higher hospital prices. These results suggest that continued hospital consolidatio
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3

Trinh, Hanh Q., and James W. Begun. "Strategic Differentiation of High-Tech Services in Local Hospital Markets." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 56 (January 2019): 004695801988259. http://dx.doi.org/10.1177/0046958019882591.

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This study assesses organizational and market factors related to high-tech service differentiation in local hospital markets. The sample includes 1704 nonfederal, general acute hospitals in urban counties in the United States. We relate organizational and market factors in 2011 to service differentiation in 2013, using ordinary least squares regression. Data are compiled from the American Hospital Association Annual Survey of Hospitals, Area Resource File, and Centers for Medicare and Medicaid Services. Results show that hospitals differentiate more services relative to market rivals if they a
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4

Shealy, Stephanie, Joseph Kohn, Emily Yongue, et al. "Motivational Application of Standardized Antimicrobial Administration Ratios Within a Healthcare System." Infection Control & Hospital Epidemiology 41, S1 (2020): s321. http://dx.doi.org/10.1017/ice.2020.918.

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Background: Hospitals in the United States have been encouraged to report antimicrobial use (AU) to the CDC NHSN since 2011. Through the NHSN Antimicrobial Use Option module, health systems may compare standardized antimicrobial administration ratios (SAARs) across specific facilities, patient care locations, time periods, and antimicrobial categories. To date, participation in the NHSN Antimicrobial Use Option remains voluntary and the value of reporting antimicrobial use and receiving monthly SAARs to multihospital healthcare systems has not been clearly demonstrated. In this cohort study. w
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5

Loomis, Meagan, Tracy Kosinski, and Stacy Wucherer. "Development and Implementation of a Standardized Sterile Compounding Training Program." Hospital Pharmacy 54, no. 4 (2018): 259–65. http://dx.doi.org/10.1177/0018578718788841.

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Purpose: The purpose of the study is to develop and implement a standardized sterile compounding training program in a multihospital system that incorporates sterile compounding best practice recommendations and ensures compliance with United States Pharmacopeia (USP) Chapters 797 and 800 standards. Methods: Baseline sterile compounding training data were collected and reviewed for sterile compounding facilities across a multihospital health system, which included 37 distinct sterile compounding operations. Current sterile compounding personnel across the system completed preintervention asses
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6

Krause, Robert B. "United States Launch Vehicle Systems." International Astronomical Union Colloquium 123 (1990): 325–32. http://dx.doi.org/10.1017/s025292110007723x.

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AbstractUnited States policy for national space launch capability provides for a balanced mix of launches, utilizing the Space Shuttle and Expendable Launch Vehicles (ELVs). It also directs government agencies to encourage and support the development of a domestic commercial expendable launch vehicle industry. This is to be accomplished by contracting for necessary ELV launch services directly from the private sector and by facilitating access by commercial launch firms to national launch and launch-related property and services they request to support these commercial operations.The current m
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7

Charlottestille, Elke Rost-Ruffner. "United States." Journal of Neuroscience Nursing 32, no. 2 (2000): 128. http://dx.doi.org/10.1097/01376517-200004000-00015.

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8

Charlottesville, Susan Goode. "United States." Journal of Neuroscience Nursing 32, no. 3 (2000): 182–83. http://dx.doi.org/10.1097/01376517-200006000-00013.

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9

Charlottesville, Elke Rost-Ruffner. "United States." Journal of Neuroscience Nursing 32, no. 3 (2000): 184. http://dx.doi.org/10.1097/01376517-200006000-00016.

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10

Spangenberg, Robert L., and Marea L. Beeman. "Indigent Defense Systems in the United States." Law and Contemporary Problems 58, no. 1 (1995): 31. http://dx.doi.org/10.2307/1192166.

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11

Cantirino, John, and Susanna S. Fodor. "Construction delivery systems in the United States." Journal of Corporate Real Estate 1, no. 2 (1999): 169–77. http://dx.doi.org/10.1108/14630019910811015.

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12

McCallum, Sally H. "Linked Systems Project in the United States." IFLA Journal 11, no. 4 (1985): 313–24. http://dx.doi.org/10.1177/034003528501100408.

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13

Blackwell, Thomas, James F. Kellam, and Michael Thomason. "Trauma care systems in the United States." Injury 34, no. 9 (2003): 735–39. http://dx.doi.org/10.1016/s0020-1383(03)00152-9.

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14

Heinlein, EdwinB. "United States information systems security — A myth?" Computer Fraud & Security Bulletin 1993, no. 5 (1993): 13–15. http://dx.doi.org/10.1016/0142-0496(93)90219-m.

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15

Montgomery, Christina. "Personal Response Systems in the United States." Home Health Care Services Quarterly 13, no. 3-4 (1993): 201–22. http://dx.doi.org/10.1300/j027v13n03_17.

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16

&NA;. "Trauma Systems Origins in the United States." Journal of Trauma Nursing 17, no. 3 (2010): 135–36. http://dx.doi.org/10.1097/jtn.0b013e3181f52026.

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17

Boyd, David R. "Trauma Systems Origins in the United States." Journal of Trauma Nursing 17, no. 3 (2010): 126–34. http://dx.doi.org/10.1097/jtn.0b013e3181f5d382.

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18

L., J. F. "MANAGEMENT STRATEGIES HAVE LITTLE IMPACT ON FINANCIAL PERFORMANCE OF RURAL HOSPITALS." Pediatrics 95, no. 5 (1995): 656. http://dx.doi.org/10.1542/peds.95.5.656.

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Management strategies adopted in response to a changing hospital market apparently have little impact on the financial performance of rural hospitals in the United States, concludes a study supported by the Agency for Health Care Policy and Research (HS05998). Stephen S. Mick, PhD, of the University of Michigan, and colleagues examined the effect of thirteen management strategies on the financial performance of a national sample of 797 US rural hospitals from 1983 to 1988. Examples of these strategies are group purchasing; multihospital, HMO, or nursing home affiliation; and adoption of outpat
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19

Adeniran, Rita. "The United Kingdom and United States Health Care Systems: a Comparison." Home Health Care Management & Practice 16, no. 2 (2004): 109–16. http://dx.doi.org/10.1177/1084822303258617.

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20

Gunstone, Frank D. "The United States." Lipid Technology 20, no. 1 (2008): 24. http://dx.doi.org/10.1002/lite.200700095.

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21

Hoveland, Carl S. "Beef-Forage Systems for the Southeastern United States." Journal of Animal Science 63, no. 3 (1986): 978–85. http://dx.doi.org/10.2527/jas1986.633978x.

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22

Furukawa, Michael F., Rachel M. Machta, Kirsten A. Barrett, et al. "Landscape of Health Systems in the United States." Medical Care Research and Review 77, no. 4 (2019): 357–66. http://dx.doi.org/10.1177/1077558718823130.

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Despite the prevalence of vertical integration, data and research focused on identifying and describing health systems are sparse. Until recently, we lacked an enumeration of health systems and an understanding of how systems vary by key structural attributes. To fill this gap, the Agency for Healthcare Research and Quality developed the Compendium of U.S. Health Systems, a data resource to support research on comparative health system performance. In this article, we describe the methods used to create the Compendium and present a picture of vertical integration in the United States. We ident
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23

Savage, Ian. "Scale economies in United States rail transit systems." Transportation Research Part A: Policy and Practice 31, no. 6 (1997): 459–73. http://dx.doi.org/10.1016/s0965-8564(97)00003-7.

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24

EGUZ, Sule. "Contemporary Education Systems: The Case of United States." Eurasia Proceedings of Educational and Social Sciences 33 (January 3, 2024): 126–34. http://dx.doi.org/10.55549/epess.1413353.

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Modernization efforts for the development of education systems were carried out in parallel with the needs of the age. In this direction, societies that have taken the step of modernization have first tried to revise their existing education systems and identify the prominent obstacles. Education systems have followed a very different course in history; It has been affected by many historical, geographical, economic, social, and cultural factors. The United States education system is an education system that is managed locally due to the history and structure of the country, where the educatio
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25

Brown, Donald S., and Sherwood C. Reed. "Inventory of Constructed Wetlands in the United States." Water Science and Technology 29, no. 4 (1994): 309–18. http://dx.doi.org/10.2166/wst.1994.0215.

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During 1990 and 1991 the U.S. Environmental Protection Agency (EPA) sponsored an effort to identify existing and planned constructed wetlands in the U.S., and to collect readily available information from operating systems. In addition to inquiries by telephone and mail, the effort included site visits to over 20 operating subsurface flow constructed wetlands. The inventory documented the presence of over 150 constructed wetland systems for wastewater treatment, including both free water surface (FWS) and subsurface flow (SF) systems. The majority of the systems identified were SF systems for
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26

Monsanto, Rafael da Costa, Henrique Furlan Pauna, Michael M. Paparella, and Sebahattin Cureoglu. "Otopathology in the United States." Otology & Neurotology 39, no. 9 (2018): 1210–14. http://dx.doi.org/10.1097/mao.0000000000001942.

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27

Jones, Will, and Alexander Teytelboym. "Matching Systems for Refugees." Journal on Migration and Human Security 5, no. 3 (2017): 667–81. http://dx.doi.org/10.1177/233150241700500306.

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Executive Summary1 Design of matching systems between refugees and states or local areas is emerging as one of the most promising solutions to problems in refugee resettlement. We describe the basics of two-sided matching theory used in a number of allocation problems, such as school choice, where both sides need to agree to the match. We then explain how these insights can be applied to international refugee matching in the context of the European Union and examine how refugee matching might work within the United Kingdom, Canada, and the United States.
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28

Gordienko, Dmitry V. "DEADLY AUTONOMOUS SYSTEMS OF THE USA, CHINA AND RUSSIA. ARMS RACE USING ARTIFICIAL INTELLIGENCE (PART 1. DEVELOPMENT OF LETHAL AUTONOMOUS WEAPONS SYSTEMS IN THE USA)." EKONOMIKA I UPRAVLENIE: PROBLEMY, RESHENIYA 1/1, no. 154 (2025): 78–95. https://doi.org/10.36871/ek.up.p.r.2025.01.01.008.

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The article analyzes and evaluates the capabilities of the United States, China and Russia to create lethal autonomous systems. The United States, China, Russia and other countries have great capabilities to create lethal autonomous systems. At the same time, the discussion of the arms race in the field of artificial intelligence at the international level continues. Only the political will of the leadership of Russia, the United States and China can limit the arms race using artificial intelligence.
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29

McAlister, Margaret, and Joey D. Helton. "A Comparison of the United States and Austrian Healthcare Needs and Systems." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 58 (January 2021): 004695802110001. http://dx.doi.org/10.1177/00469580211000162.

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Austria and the United States have very different healthcare systems with Austria following a social insurance model and the United States following an out of pocket model however;gross domestic product on healthcare expenditures. There is a current gap in literature on how the United States and Austrian healthcare systems comparatively impact patient outcomes, especially when considering the mediating effects of societal norms such as exercise and mental self-care habits. The information presented could benefit the United States healthcare system if they adopted Austria’s model, which expands
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30

McDonald, Robert J., Jennifer S. McDonald, David F. Kallmes, Giuseppe Lanzino, and Harry J. Cloft. "Periprocedural safety of Pipeline therapy for unruptured cerebral aneurysms: Analysis of 279 Patients in a multihospital database." Interventional Neuroradiology 21, no. 1 (2015): 6–10. http://dx.doi.org/10.1177/1591019915576289.

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The relative safety of unruptured aneurysm treatment with coiling versus flow diversion therapy is unknown. Most data available on flow diversion reflect highly focused patient groups and very experienced operators. We evaluated a national, multihospital patient database to examine periprocedural morbidity and mortality in patients treated with endovascular flow diversion therapy. The Premier Perspective database was used to identify patients hospitalized between May 2011 and March 2013 for unruptured aneurysm who underwent flow diversion therapy with a Pipeline embolization device. The risk o
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31

Stuckey, Roy. "The Evolution of Legal Education in the United States and the United Kingdom: How one system became more faculty-oriented while the other became more consumer-oriented." International Journal of Clinical Legal Education 6 (July 18, 2014): 101. http://dx.doi.org/10.19164/ijcle.v6i0.102.

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<p>This paper explores how our approaches to preparing lawyers for practice became so different. It traces the evolution of the systems for preparing lawyers for practice in the United Kingdom and the United States, and it examines the relative merits of our current situations. Part I describes the key differences in our systems. Part II recounts major events in the histories of legal education in the United States and the United Kingdom. Part III describes new initiatives in the United Kingdom and the United States that may improve legal education.</p>
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32

Rosko, Michael, Herbert S. Wong, and Ryan Mutter. "Characteristics of High- and Low-Efficiency Hospitals." Medical Care Research and Review 75, no. 4 (2017): 454–78. http://dx.doi.org/10.1177/1077558716689197.

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We compared performance, operating characteristics, and market environments of low- and high-efficiency hospitals in the 37 states that supplied inpatient data to the Healthcare Cost and Utilization Project from 2006 to 2010. Hospital cost-inefficiency estimates using stochastic frontier analysis were generated. Hospitals were then grouped into the 100 most- and 100 least-efficient hospitals for subsequent analysis. Compared with the least efficient hospitals, high-efficiency hospitals tended to have lower average costs, higher labor productivity, and higher profit margins. The most efficient
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33

Klein, Rudolf. "Comparing the United States and United Kingdom: contrasts and correspondences." Health Economics, Policy and Law 7, no. 4 (2012): 385–91. http://dx.doi.org/10.1017/s1744133112000199.

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AbstractThe conventionally antithetical stereotypes of the United Kingdom and United States health care systems needs to be modified in the case of the elderly. Relative to the rest of the population, the over-65s in the United States are more satisfied with their medical care than their UK counterparts. There is also much common ground: shared worries about the quality of elderly care and similar attitudes towards assisted death. Comparison is further complicated by within country variations: comparative studies should take account of the fact that even seemingly polar models may have pools o
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34

Kottapalli, Pavani. "Comparative Analysis of Long-Term Care Systems in the Netherlands and United States." International Journal of Multidisciplinary Research and Growth Evaluation 5, no. 1 (2024): 1614–16. https://doi.org/10.54660/.ijmrge.2024.5.1.1614-1616.

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The Netherlands and the United States are high-income countries with different healthcare systems and distinct approaches to long-term care. Although the United States health care system is a leader in science and technology advancement, it remains far away in terms of the quality and infrastructure of organizations compared to other countries that are members of the Economic Cooperation and Development (OECD). Additionally, the United States spent more than any country on health care in 2021. The United States' expenditure on health care was three times more than other OECD countries and is e
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35

Greer, Scott L., Holly Jarman, and Peter D. Donnelly. "Lessons for the United States From Single-Payer Systems." American Journal of Public Health 109, no. 11 (2019): 1493–96. http://dx.doi.org/10.2105/ajph.2019.305312.

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36

Glickenstein, Harvey. "High-speed rail for the United States? [Transportation systems." IEEE Vehicular Technology Magazine 4, no. 3 (2009): 16–23. http://dx.doi.org/10.1109/mvt.2009.933467.

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37

Maxwell, D. Jackson. "Technology and Inequality Within the United States School Systems." Journal of Educational Thought / Revue de la Pensée Educative 34, no. 1 (2018): 43–58. http://dx.doi.org/10.55016/ojs/jet.v34i1.52609.

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As technology becomes an increasingly important tool that students will need to succeed in life, it falls upon educators, parents, and society as a whole to make sure that students are being taught these skills. Through analysis of existing research, data, and publications, this article examines some of the reasons why not all students are afforded equal opportunities to acquire technology skills. Three main impediments to technological equalization in the United States school systems are examined: a) gender bias, b) geographical location bias, and c) racial bias. The overview afforded by this
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38

Kahhat, Ramzy, Junbeum Kim, Ming Xu, Braden Allenby, Eric Williams, and Peng Zhang. "Exploring e-waste management systems in the United States." Resources, Conservation and Recycling 52, no. 7 (2008): 955–64. http://dx.doi.org/10.1016/j.resconrec.2008.03.002.

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39

Krakoff, Lawrence R. "Systems for Care of Hypertension in the United States." Journal of Clinical Hypertension 8, no. 6 (2006): 420–26. http://dx.doi.org/10.1111/j.1076-7460.2006.05385.x.

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40

Fabrycky, Wolter J., and Elizabeth A. McCrae. "6.1.2 Systems Engineering Degree Programs in the United States." INCOSE International Symposium 15, no. 1 (2005): 833–47. http://dx.doi.org/10.1002/j.2334-5837.2005.tb00713.x.

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41

Ranavaya, Mohammed I., and James B. Talmage. "Impairment and Disability Compensation Systems in the United States." Guides Newsletter 4, no. 6 (1999): 1–13. http://dx.doi.org/10.1001/amaguidesnewsletters.1999.novdec01.

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Abstract Although several states use the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) when they evaluate individuals with impairments and disabilities, various disability systems exist in the United States. Disability and compensation systems have arisen to ensure that disadvantaged members of society with a medically determinable impairment, which may lead to a disability, have recourse to compensation from various sources, including state and federal workers’ compensation laws, veterans’ benefits, social welfare programs, and legal avenues. Each of these has differing de
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42

Gordienko, Dmitry V. "DEADLY AUTONOMOUS SYSTEMS OF THE USA, CHINA AND RUSSIA. ARMS RACE USING ARTIFICIAL INTELLIGENCE (PART 2. DEVELOPMENT OF LETHAL AUTONOMOUS WEAPONS SYSTEMS IN CHINA AND RUSSIA. THE ARTIFICIAL INTELLIGENCE ARMS RACE AND INTERNATIONAL HUMANITARIAN LAW)." EKONOMIKA I UPRAVLENIE: PROBLEMY, RESHENIYA 1/2, no. 154 (2025): 63–78. https://doi.org/10.36871/ek.up.p.r.2025.01.02.007.

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The article analyzes and evaluates the capabilities of the United States, China and Russia to create lethal autonomous systems. The United States, China, Russia and other countries have great capabilities to create lethal autonomous systems. At the same time, the discussion of the arms race in the field of artificial intelligence at the international level continues. Only the political will of the leadership of Russia, the United States and China can limit the arms race using artificial intelligence.
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43

Vrabec, Jeffrey T., and Newton J. Coker. "Stapes Surgery in the United States." Otology & Neurotology 25, no. 4 (2004): 465–69. http://dx.doi.org/10.1097/00129492-200407000-00011.

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44

Webb, David W., and David R. Hoffpauir. "Critical Incident Management and Geographically–Based Systems." International Journal of Applied Geospatial Research 1, no. 3 (2010): 69–75. http://dx.doi.org/10.4018/jagr.2010070105.

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In the United States there is a strong dependence on decentralized policing services, distributed by thousands of police departments. As a primary police professional development management institute in the United States, the Law Enforcement Management Institute of Texas (LEMIT) identified that there existed a paucity of management development opportunities for police command staff engaged in critical incident management. This paper describes how LEMIT met this challenge and became a leading U.S. institute in this exciting field of operation.
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45

Nicholson, Craig A. "Surgical training in the United States." Bulletin of the Royal College of Surgeons of England 89, no. 2 (2007): 56–57. http://dx.doi.org/10.1308/147363507x171285.

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Surgical education in the United States has developed along with the graduate medical education (GME) system. Changes in health care delivery and payment systems, changes in the practice and specialisation of surgery, attempts to improve the system of graduate medical training and even generational changes among those entering surgical training have influenced and changed the way surgeons are trained in the US. Although a thorough examination of these factors and their influence on surgical training is beyond the scope of this brief review, some of these influences and our current surgical tra
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46

Parker, Matthew D., and David A. Ahijevych. "Convective Episodes in the East-Central United States." Monthly Weather Review 135, no. 11 (2007): 3707–27. http://dx.doi.org/10.1175/2007mwr2098.1.

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Abstract Nine years of composited radar data are investigated to assess the presence of organized convective episodes in the east-central United States. In the eastern United States, the afternoon maximum in thunderstorms is ubiquitous over land. However, after removing this principal diurnal peak from the radar data, the presence and motion of organized convective systems becomes apparent in both temporally averaged fields and in the statistics of convective episodes identified by an objective algorithm. Convective echoes are diurnally maximized over the Appalachian chain, and are repeatedly
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47

Gordienko, Dmitry V. "DEADLY AUTONOMOUS SYSTEMS OF THE USA, CHINA AND RUSSIA. ARMS RACE USING ARTIFICIAL INTELLIGENCE. PART 3. DISCUSSION OF THE PROBLEM OF THE ARMS RACE IN THE FIELD OF ARTIFICIAL INTELLIGENCE AT THE INTERNATIONAL LEVEL. RUSSIA’S POSITION IN DISCUSSION OF THE PROBLEM OF THE ARMS RACE IN THE FIELD OF ARTIFICIAL INTELLIGENCE." EKONOMIKA I UPRAVLENIE: PROBLEMY, RESHENIYA 2/1, no. 155 (2025): 30–47. https://doi.org/10.36871/ek.up.p.r.2025.02.01.005.

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The article analyzes and evaluates the capabilities of the United States, China and Russia to create lethal autonomous systems. The United States, China, Russia and other countries have great potential to create lethal autonomous systems. At the same time, the issue of an arms race in the field of artificial intelligence continues to be discussed at the international level. Only the political will of the leadership of Russia, the United States and China can limit the arms race using artificial intelligence.
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48

Craun, Michael F., Gunther F. Craun, Rebecca L. Calderon, and Michael J. Beach. "Waterborne outbreaks reported in the United States." Journal of Water and Health 4, S2 (2006): 19–30. http://dx.doi.org/10.2166/wh.2006.016.

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Epidemic waterborne risks are discussed in this paper. Although the true incidence of waterborne illness is not reflected in the currently reported outbreak statistics, outbreak surveillance has provided information about the important waterborne pathogens, relative degrees of risk associated with water sources and treatment processes, and adequacy of regulations. Pathogens and water system deficiencies that are identified in outbreaks may also be important causes of endemic waterborne illness. In recent years, investigators have identified a large number of pathogens responsible for outbreaks
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49

Londoño-Pulgarín, Diana A., Francisco Muñoz-Leiva, and Esmeralda Crespo-Almendros. "Conversion of Residential Heating Systems from Fossil Fuels to Biofuels: A Cross-Cultural Analysis." Energies 13, no. 19 (2020): 5063. http://dx.doi.org/10.3390/en13195063.

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This paper aims to analyse: (a) how the attitude towards renewable energy-based heating systems, pro-environmental behaviour and the perceived attributes of technology influence intention to convert residential heating systems from fossil fuels to biofuels, and (b) the moderating role of culture based on Hofstede’s individualism dimension. A total of 425 responses were collected from a panel of internet users from representative countries in three continents (the United States, the United Kingdom and South Africa); the data analysis was carried out using structural equation models in a multigr
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50

Cohen, David K., and James P. Spillane. "Educational System Building." Educational Policy 33, no. 6 (2019): 807–11. http://dx.doi.org/10.1177/0895904819866913.

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Recognizing that there are many different sorts of school systems in the United States and noting the absence of comparative research on these systems, we sampled six such systems—two public, one not, and three at various places on the border between public and private—for a comparative study of educational system in the United States. In this introduction, we motivate the research and discuss our research questions in order to situated the four papers in this special issue. The first three papers capture how different systems inhabit their environments similarly and differently, exploring the
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