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Especially detection of early-stage balance control deterioration is difficult, because the balance control system is redundant and elderly may use compensation strategies.
There are tests and drugs for osteoporosis, but muscle deterioration is difficult to measure, and its effects can be subtle, said Jeremy D. Walston, the Raymond and Anna Lublin Professor of Geriatric Medicine in the School of Medicine.
Nevertheless, allegiance to the traditional approach of initially calling the parent medical unit doctors when there are objective early signs of clinical deterioration is difficult to eradicate: 72% of nurses surveyed continue to choose to call the parent unit first, despite several years of RRS operation [ 36].
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We felt that questions related to clinical deterioration would be difficult to answer unless physicians were provided with a diagnostic framework within which to consider their decision.
According to the Neurocritical Care Guidelines on the management of SAH, "in sedated or poor-grade SAH patients, clinical deterioration may be difficult to assess, and transcranial Doppler (TCD), continuous electroencephalography (cEEG), brain tissue oxygen pressure (PtiO2) monitoring, and/or cerebral microdialysis (CMD) are options for monitoring for vasospasm and DCI".
Therefore, it is difficult to predict and control the deterioration of the EBPR process in a large-scale municipal sewage treatment plant.
The detailed internal layering of U-1 is difficult to interpret due to deep burial and deterioration of data quality.
Less spectacularly, Plath records the petty deteriorations of a marriage entered into precipitately on both sides: Hughes is difficult, moody, reluctant to work for a living, disinclined to bathe and with a most unromantic penchant for nosepicking.
Moreover, slight deterioration in renal function observed in patients with highest e-GFR at baseline is difficult to explain.
"There is no doubt that the police would incur unpopularity... any further deterioration in the good relationship between police and public is to be deplored, but it is difficult to see how this could be avoided".
Therefore, it is difficult to determine which receptors participate in the process of AGE-related deterioration of insulin synthesis.
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