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Conclusion: These present findings provide support for the model even though the questionnaire items were not constructed to specifically measure concepts contained in it.
Even though the questionnaire additionally asked for other strategies not assed by the two given descriptions, none of the subjects indicated the use of a different strategy.
Interestingly, even though the questionnaire had areas that required intensive teaching, 71% of the participants said they felt confident in looking after acutely ill patients.
Even though the questionnaire had a simple yes/no format in questions about presence of musculoskeletal disorders and visits to care-providers, many of the respondents failed to answer these questions resulting in a large number of internal missing cases.
Some of these are very specific and even though the questionnaire was adapted through a systematic process and some questions excluded, the use of this instrument in this context has not been validated.
It should be noted that our results showed co-linearity between spirituality and religiosity even though the questionnaire cover letter, viewable in the Additional file 1, distinguishes clearly between the two.
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Vaccination concerns were frequently expressed, even though the structured questionnaire contained a few vaccine questions.
Our results indicated that participants' micro-environment activity patterns did not differ substantially even though the second questionnaire was completed in a different season than the first (Table 6).
CECA-6: emotional dimension CECA-4: sexual activity dimension Even though the final questionnaire was initially designed to be equally valid for both genders, it would be interesting in future research to develop gender specific questionnaires given the characteristics of the disease.
Even though this questionnaire is remarkably simple and easy to administer in English, we followed a rigorous translation protocol and did not identify any important cultural adaptations that required attention.
Of course, even though the original questionnaires were largely identical, local understanding of the questions can differ.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com