A year before she had undergone a pelvic examination which did not reveal abnormalities.
However the outcomes are often assessed in a deconstructed manner under artificial examination conditions, which does not sufficiently appreciate the complexity of medical practice, where the doctor need to integrate the patient, clinical findings, the context, and him/herself, among many factors.
For heaven's sake get on the train then, one is tempted to say.Sadly, "Prague" is a novel which does not bear examination.
Specifically, in most published cohort studies, the exposure was taken to be long term differences in air pollution concentrations across geographic location, which does not allow examination of whether changes in annual exposure result in changes in risk.
Study limitations include the cross-sectional nature of the study which does not allow for examination of changes over time and the inclusion of only one academic teaching centre.
Which does not feel good!
To highlight the limitations of traditional 2-dimensional (2D) echocardiographic mitral valve (MV) examination methodologies, which do not account for patient-specific transesophageal echocardiographic (TEE) probe adjustments made during an actual clinical perioperative TEE examination.
We performed two further analyses; first controlling for examination hospital, which did not affect the model; second, controlling for delay, which did not change the effect of interview admission, but eliminated the effect of sex.
Conversely, the doctor's competence would be questioned when experiencing an apparently inaccurate diagnosis, lack of examination, and/or treatments which did not result in improved heath outcomes.
