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Midwife comments illustrate some confusion over their responsibility for completing the examination, with reference to the importance of checking for a third degree tear only if indicated, and a lack of supervisory lead in practice.
Therefore, it was encouraging to find that goal setting promoted changes in outcomes in Craigie et al and that feedback was helpful in Aubin et al and Elton et al. These elements require further examination with reference to a behaviour change taxonomy, for example, Abraham and Michie's, 15 to determine whether they are effective within the context of CVD and diabetes screening programmes.
A positive response to the tap test was defined as ≥1-point symptom improvement on the idiopathic normal pressure hydrocephalus grading scale (iNPHGS), ≥10% improvement on the timed up-and-go test, or ≥3-point improvement on the mini-mental state examination with reference to the Japanese iNPH guidelines [ 17].
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Results of examinations were compared with reference to healthy volunteers.
Comparison of examinations was performed with reference to the group of healthy volunteers (control group, N = 15) aged 20 30 years (24.6 ± 1.1 years on average with mean height 178 ± 10 cm and weight 72 ± 6 kg).
Levels of mouse S100A7/psoriasin RNA expression were assessed by microscopic examination at low power magnification and with reference to the negative sense control.
This statistical moderation is done by adjusting the average and the spread of SBA scores of students in a given school with reference to the public examination scores of the same group of students, supplemented with review of samples of students' work.
Dynamometer was calibrated every time before the test was applied and the patient was instructed with reference to methodology and aim of examination.
In 6 of the 7 MALT lymphoma cases, histopathological examination revealed the lymphoepithelial lesion using target biopsies with reference to the endocytoscopic view.
The study reported here was conducted as a follow up to an INEPEA situation analysis survey that identified the need for more detailed examination of existing senior nursing roles in Kenya, with reference to internationally recognised frameworks for advanced practice.
During the last day of the Consultation Skills course, students were asked to anonymously answer only one open-ended question:"What do you think of the course in Consultation Skills, with reference to the course design and examination?
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