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This is the case in the evaluation process of clinical-surgical competences.
This may also be the case in the evaluation of results obtained by the dynamic method, if the approximations used are too rigorous.
Reproducibility becomes even more important when the systems that are simulated become more and more complex, as it is the case in the evaluation of wireless communication systems.
When an RCT is not possible - as is the case in the evaluation of the National Quality Improvement Programme for Palliative Care - it is important to use a mixed-method design and to combine quantitative effect measurements with a qualitative process evaluation.
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Because of the relevant strict Health and Safety procedures in dealing with fresh tissue it was not considered possible to use prion disease cases in the evaluation [ 12].
The use of paired sera from LD cases in the evaluation study (Table 1) further indicated the presence of exclusion bias as the most severely ill LD cases died before convalescent sera could be sampled.
The number of screening cases in the evaluation (6200) is smaller than the total number of participants due to the additional eligibility criteria of being a Costa Rican citizen and a resident in the region by 1990.
This was particularly the case in those evaluation studies that employed diverse mixed methods and did not distinguish sources of information sufficiently clearly.
In the 857 cases tested in the evaluation study[ 7], the combination of placental infarctions and maternal hypertensive disorders represented 3% of deaths, 24% of cases with hypertension, and 22% of cases with placental infarctions.
As in the rest of Cambodia and consistent with global trends, the incidence of reported cases decreased in the evaluation and control ODs before and during the intervention.
There have even been cases in which the evaluation of the performance of private providers has been significantly hindered, as the contract documents have not been available for the public [ 38].
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