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Given that a proportion of this patient population may receive intensive treatment, there is an urgent need for consensus-based definitions of TRM for use across clinical trials.
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Elderly patients are less admitted in ICU than younger critically ill patients [11 13] and may receive less intensive treatment [14], and their treatments are more frequently withheld [15].
For example, if adolescents have above-target hemoglobin HbA1c values, they may receive more intensive intervention aimed at adherence promotion.
Minorities may receive more intensive diabetes screening, leading to diagnosis earlier in the course of disease and thus apparent lengthening of time to complications.
Private speech pathologists may receive less intensive support from a multidisciplinary team and other colleagues, and are under more pressure to account for their direct client contact billable time; and thus may find it difficult to implement stroke CPGs.
An alternative explanation for the difference in MM clinical outcome among the groups (HxD, SID, and ND) is that diabetic patients are generally in worse health and may receive less intensive MM treatment than non-diabetic patients.
Alternatively, some patients in care pathway 'young' may receive an intensive family treatment for youngsters up to 20 years old (and their families), who still live at home (or intend to go back to live at home again) and where multiple life domains may be affected (e.g. family, school, mental health, criminal behavior etc).: Multidimensional Family Therapy (MDFT [ 49]).
Participants may also be referred to a smoking cessation clinic from which they receive intensive counseling, which consists of behavioral and cognitive strategies to quit smoking.
Recently bereaved children may be offered free places regardless of income, and children whose parents or siblings receive intensive medical care can get subsidies.
Fellows receive intensive individual and group supervision in both units.
Students receive intensive scrutiny by the group and instructor.
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