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At least that appears to be the justification for removing these life-enhancing subjects, although the exam board AQA suggested it was more to do with the difficulty of standardising marking regimes across different papers.
Still these variations serve to highlight the difficulty of standardising resuscitation protocols and comparing EMS systems.
With this type of study there is always some difficulty of standardising the implementation of the intervention.
Furthermore, educational interventions in whole communities are 'complex interventions' that often pose significant problems of evaluation due to the difficulty of standardising their components [ 34].
Among the limitations are the small sample size and the possible interobserver and intraoberserver variability due to multiple study members and difficulty of standardising the index test.
However, this was not seriously considered as an option for this study, due to its instability [ 24], relatively short shelf life, lower standard of quality control (manufacture is regulated by food rather than pharmaceutical standards [ 16]); presumed lack of acceptability to some women for vaginal use; and difficulty of standardising a per vaginum dose.
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Although some reports have suggested that the DTH test is not an appropriate method for immune monitoring because of the difficulty to standardise it and the generation of a DTH response against non-antigenic compounds; other studies have showed that DTH test is a reproducible and cost-effective method for predicting clinical benefits (deVries et al, 2005).
Because of the inherent complexity of chemical structure comparisons, the challenges of standardising representations, and the difficulties of quality control for large compound collections, none of these sources are likely to claim their numbers as a standard of truth.
Despite the scepticism, the difficulties in dealing with such diverse groups of patients, and the challenges of standardising diagnosis, the research is moving forward.
Americans had better give up any ideas of standardising the MBA to the US template.
The key informant interviews gave some more background on why the entry of the diagnosis presented difficulties: To standardise the diagnosis MTUHA provides a 'classification of disease'.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com