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High levels of bio-ADM at 48 h or later may reflect a state of refractory shock with end-organ damage, despite normalization of lactate levels, and may help the clinician in a more accurate patient selection for advanced therapies, or guide in the difficult process of limiting the therapeutic effort.
We argue that measurement of severity of illness at the time of bacteremia or later may reflect complications of the current infection and not the patient's underlying disease status.
A mutation found only in the diagnostic biopsy but not in plasma removed several months later may reflect the disappearance of the mutated cells, and an investigation of biopsies and plasma samples taken at the same time could elucidate this.
The fact that the majority of peer-reviewed articles were published in 2003 or later may reflect the impact that the introduction of the MDGs in 2000 has had on priority setting for research and policy in African nations and suggests that momentum may be building for both HRH and MDGs 4 and 5 research.
The high incidence of TB in the initial three months of ART compared with later may reflect an immune reconstitution inflammatory syndrome (IRIS) to TB infection which was present, yet undiagnosed at the time of ART initiation; this phenomenon has been termed unmasking tuberculosis-associated IRIS [ 22].
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Lower numbers in later years may reflect a delay in complaints, often filed years later in adulthood.
Similarly, suggestions that the anguish experienced by some of the lovers in the later novels may reflect Dickens's own feelings remain speculative.
The show points out that George's later stories may reflect some of his creators' experiences of America, invoking Hollywood, rocket ships, newspapers — the bustle of American commercial and social life.
In addition, among populations with chronic mercury exposure, associations with mercury measured in later life may reflect the long-term developmental consequences of early-life exposure.
This later observation may reflect differences in derivation and/or genetic background but suggests potential inherent differences in germ cell development.
The later point may reflect declining confidence in assessment with time, as indicated by the decay in knowledge, and increasing use of ultrasound six months to one year after the initial academic detailing.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com