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              <text>The replicator coalescent considering migration, is a stochastic model which describes a population of \textit{k} distinct types which undergo either pairwise mergers or individual migration at rates depending on their types. It turns out that if we consider the initial population to tend to infinity and dilate the time arbitrarily close to 0, the process behaves deterministically like the solution to an M-replicator equation ODE, where M is the expected payoff matrix of the process. Furthermore, the process comes down from infinity in the sense that Kingman introduced for the 'Kingman coalescent death chains'.</text>
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              <text>This retrospective audit evaluated compliance with local and national guidelines for venous thromboembolism (VTE) prophylaxis among adult ENT inpatients at University Hospitals Coventry &amp; Warwickshire (UHCW) during September 2025. Patient records were reviewed via the Electronic Patient Record (EPR) system to assess timely completion of VTE risk assessments, appropriate prescribing of prophylaxis based on patient weight and renal function, and adherence to UHCW and NICE NG89 standards.  Of the 25 patients included, 96% received appropriate VTE prophylaxis, with only one instance of incorrect Enoxaparin dosing identified. Weight was documented in 92% of cases, and renal function in 63%. These findings indicate a strong overall compliance with local and national standards, though opportunities remain to improve documentation consistency and dosing accuracy.  Recommendations include targeted staff education on weight- and renal-adjusted dosing, reinforcement of timely VTE risk assessments, and the introduction of electronic prescribing alerts to minimise human error. A re-audit is planned within six months to monitor progress. This audit demonstrates that VTE prophylaxis practices within the ENT department at UHCW are robust, but highlights the need for ongoing vigilance to ensure continued patient safety and adherence to best practice.</text>
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Evaluation of Venous Thromboembolism (VTE) prophylaxis and compliance with local guidelines in adult ENT Inpatient Wards at University Hospitals Coventry &amp; Warwickshire (UHCW)</text>
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