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Finally we examined the feasibility of developing a scoring system using the identified clinical indicators to determine need for LP and or presumptive treatment for acute bacterial meningitis.
Using the responses from the questions in each public health category related to training needs, we developed an overall mean from the aggregated responses to determine "need" for additional training.
Guidelines recommend use of the HCAP criteria to determine need for empiric MRSA therapy, but this definition lacks specificity for CO-MRSA pneumonia and may lead to overuse of broad-spectrum antibiotic therapy [ 2, 11].
Using this test alone to determine need for prophylactic corticosteroids will result in an unnecessary 12 to 24 hour prolongation of intubation for three out of every four such patients.
Plausibility checks will be run on each team's data using the software Emergency Nutrition Assessment [ 27], to examine the quality of the data and determine need for intensive retraining and closer supervision.
It is acceptable to determine need for TSB with a TcB and it may be acceptable to use TcB alone (under a photo-opaque patch) to follow infants under CPT.
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Test results for allergic disease are especially valuable to allergists and family physicians for clinical evaluation, decisions to treat, and to determine needs for referral.
Hence characteristics of the underlying illness were a key factor in determining need for hospital care; it was therefore considered that these admissions were not preventable.
We wish to outline some of the problems associated with determining relative 'cutoff' points for commencing RRT due to the heterogenous nature of the 'triggers' used for determining need for renal replacement.
Longitudinal prospective studies would be needed to assess more subtle changes, and to assess the trajectories of problems such as symptoms and psychological concerns, all of which might be important in determining need for palliative care.
85 Although further studies will undoubtedly add to the current evidence base, Fibroscan has now been validated in NAFLD, 104 and represents a useful tool for rapid, non-invasive assessment of liver fibrosis and determining need for biopsy.
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