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This study had some selection biases at baseline, which may decrease generalizability.
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Moreover, we only recruited a limited number of patients from two surgical ICUs at a single, large referral center, which may decrease the generalizability of our results to all ICU patients.
The single county sample design may decrease the generalizability of the results.
A relatively large portion of potentially eligible patients were excluded, which may decrease the generalizability of our findings.
Second, the use of data from a clinical trial population may decrease the generalizability of the observed findings.
Although the low response rate does not affect the internal validity of the findings, it may decrease the generalizability of the results.
Although this response rate does not reflect internal validity of the findings, it may decrease the overall generalizability of the results to all HCWs in EDs.
For some workers, hours may decrease.
As croup worsens, stridor may decrease considerably.
Also, marshmallow may decrease blood sugar.
However, our study population was Caucasian, which may diminish generalizability to other ethnicities.
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