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they lay off the secretaries and transcriptionists. The authors of the Annals article completed a comprehensive retrospective cohort study over 9 years, looking into whether quality metrics improved when physicians went from being independently employed to being salaried hospital employees. The following 3 cases of survival after near drowning, 2 in sea water and 1 in fresh water, lend support to the presumption that the process of drowning in man is similar to that in the dog. These patients also illustrate certain complications that may be encountered after rescue and resuscitation from near drowning. In a study of the clinical and pathologic findings in a series of cases, we have observed multiple fresh coronary occlusions in a group of 11 cases. In 8 of. Background. Students' self-concepts play an important role in explaining achievement-related behaviour. According to the internal/external frame of reference model (I/E Model), students use two frames of reference to form their mathematical and verbal self-concepts. The model predicts that external comparisons will lead.