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However it is not routine practice to recommend such screening and this seems an unlikely explanation.
In our institute, contrary to what is advocated by others [ 7], it is not routine practice to use antithrombotics or anticoagulants that might otherwise have influenced outcome.
It is not routine practice at our hospital to perform ASC on outpatients, thus we could not follow patients to determine whether the MRSA colonisation was persistent.
At present, it is not routine practice to perform liver resection for breast metastases due to the frequent coexistence of metastatic disease elsewhere, the generally poor prognosis and the magnitude of the surgery.
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At the time the ITS study was started it was not routine practice to measure the ERα status of all breast cancers.
A fifth consideration is that at the time this study was conducted it was not routine practice to issue sick notes/fit notes to patients attending the ED, and this applied to all professional groups (including doctors).
Biopsy of an IM lymph node is necessary if lymphoscintigraphy indicates it is the sentinel node, though, it remains inappropriate to biopsy an IM node if it is not blue or hot on lymphoscintigraphy as IM node biopsy is not routine practice.
If the PA X-ray does not show a pneumothorax but there is a strong suspicion of one, lateral X-rays (with beams projecting from the side) may be performed, but this is not routine practice.
Peripheral sampling is painful and unpleasant, and thus is not routine practice in children.
However, evidence suggests that provider-initiated screening is not routine practice [ 1, 12– 17].
Despite this evidence and current recommendations, the acquisition of tissue from metastatic deposits is not routine practice.
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