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Once we excluded themes that less than 75% of the respondents had rated as important (4 or 5 on the scale), we had a list of 40 themes that the participants considered as the most important information in a referral letter to specialised mental health care.
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After excluding themes that were assessed as duplicates, replaceable or less important, 40 themes were suggested, organised in seven units.
I recently had a trawl through the invaluable data mines at Box Office Mojo and found that, if you look at the films in the top 50, and exclude theme-park jaunts like Sherlock Holmes, the number of historical dramas has plummeted drastically in the last few years.
Since the aim was to produce a short questionnaire, overlapping themes were excluded as were themes related to stigma associated with help seeking and treatment, or themes which were by consensus of the six-person team not considered central to the concept of stigma.
We then excluded the theme that was seen as second most replaceable by the participants, and so on.
We started the analysis of the individual ratings by excluding the theme that the most participants considered replaceable and marking the theme that replaced it.
All beats (excluding the theme) by Archie Green.
Henceforth, it was possible to identify 9 major "challenges" for the future (Table 2), It does not mean that 6 themes are excluded; they are just integrated into the various relevant challenges, as shown in Table 2.
Eligible studies which did not have geographical exposure variables were excluded from this report, for future study under other theme headings.
If no consensus was met by most study authors, the theme was excluded from our results.
Two additional sub-themes were excluded because their representative statements, although conceptually related, were considered unable to be summed to form a scale.
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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