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Emphasis is put on some of the more difficult presentations of stress fractures; in particular atypical femoral shaft fractures, bone marrow oedema syndrome and radiotherapy-related stress fractures are discussed.
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Sweetow and Henderson Sabes (2006) showed the largest effect sizes occurred in the QuickSIN when presented at the more difficult presentation level of 45 dB compared with 70 dB.
Although the implementation can be difficult, presentation approaches that tailor information could be considered.
Also for the second straight year, I was faced with a difficult post-presentation choice: stay backstage to feast on the tray of free chocolate chip cookies put out for speakers, or roam the exhibition hall upstairs, grilling the travel industry representatives for money-saving tips that don't appear in brochures.
However, quite a big difference in DNA structures between all subfamilies makes difficult a presentation of general Alu repeats consensus sequence covering all subfamilies and there is no such a sequence in Alu repeats database [ 10].
Surgery for an untreated congenital hip dislocation is difficult, especially when presentation is in the older child or adolescent.
Macrosomia, breech presentation, difficult or precipitous vaginal delivery, and a caesarean section could predispose to birth trauma [3].
A preoperative diagnosis of gallbladder SCC is very difficult because the presentation generally consists of nonspecific symptoms.
The primary diagnosis of AEF remains difficult; the clinical presentation is often with massive gastrointestinal bleeding, starting with herald bleeds and leading to severe bleeding episodes with exsanguination.
However TBM diagnosis is difficult: the clinical presentation is diverse, rapid tests insensitive and the differential diagnosis is broad.
Diagnosis of arsenic intoxication is often difficult because clinical presentation varies depending on route of exposure, chemical form, dose, and time elapsed since exposure.
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