It has been argued that process and intermediate outcomes can be affected not only by medical interventions but also by patient factors (19); in other words, the score might reflect patient variation rather than disparities in the quality of care.
Process indicators represent the closest approximation of how actual health care is provided and are the most clinically specific of the three types of indicators, but there is concern as to what degree these measures can be related to clinically desirable outcomes [ 15]; it has been argued that process measures are only as good as the evidence which links them to outcomes [ 16].
Consequently, it is argued that process measures are also important in assessing RCB [ 16] and that these may help to shed light on what happens inside the 'black box' of RCB interventions.
It may, however, be argued that processes of internal script induction and reconfiguration, on one hand, and subject matter knowledge acquisition, on the other hand, are not always synergetic.
It has often been argued that the process of urbanization and urban growth in the third world has taken place with the expansion of the industrial sector.
Due to the speed of the program, it could have easily been argued that the process was robust in isolating Form I, as 29 batches had been completed without incident.
A major research gap in the literature is that although it has long been argued that the process of institutionalization (i.e., symbolic adoption to meet regulatory requirements) will significantly weaken the effectiveness of quality management standards in China, there is a lack of objective evidence based on longitudinal data from the country.
It has been argued that this process may help maintain muscle creatine levels and limit cellular energy failure in the leaky skeletal muscles of affected mice.
Lately, it has been argued that content and process should be taught together to obtain a better transfer during clerkships.
While it has been argued that this evolutionary process is driven to a large extent by the acquisition of immune-resistance against pathogens expressing such glycans (Bishop and Gagneux, 2007; Cywes-Bentley et al., 2013), this was never tested experimentally.
Nevertheless, it has been argued that a fermentation process without the use of neutralizing agents, and at the same time preventing product inhibition, will improve the economics of the general process (Gangl et al. 1990).
