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Without American participation, any intervention will carry a high risk of failure.
Those figures sound a lot, but then any sort of police intervention will carry some risk, and over 12 years in a country of nearly 300 million people it's not surprising that some deaths would be associated with pretty much any law enforcement method upwards of a stern talking to.
Trained researchers who have extensive experience of working with young people and other staff and who have no involvement in the design or delivery of the intervention will carry out all data collection.
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Our intervention team will carry out a telephone reminder/follow-up call to the responsible RN 1 month after the intervention.
Practice nurses carrying out the intervention will take part in a tailored training program.
After completing the DCM training and the DCM organisational briefing day, the intervention nursing homes will carry out two DCM cycles.
However, to account for any contamination between the standard care and intervention arms, we will carry out a per-protocol analysis.
During the intervention the geriatric expert teams will carry out the following three main tasks: (1) (quality) management, (2) expert knowledge transfer and (3) building and maintaining local networks of care organisations.
The natural history of bowel injury had not been investigated well enough to offer evidence to explain why some women suffer from severe late effects and others do not, and indeed why some women appear to recover from symptoms (with or without intervention), whereas a significant proportion will carry on to have mild to moderate (sometimes tolerable) long-term symptoms.
Two qualified trainers, one psychomotor therapist and a behavioral scientist, will carry out the intervention.
Paediatric orthopaedic surgeons will perform the orthopaedic surgical procedures while the local teams will carry out other interventions in terms of spasticity management, physical therapy and orthotics.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com