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Increased nursing time and smaller milk bands may reflect complications with lactation or inefficient milk transfer.
Although comorbidities recorded in administrative databases have provided fairly good predictions of mortality, there have been concerns that diagnoses may reflect complications instead of comorbidities [ 6– 10].
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.
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Newer generation designs may reflect lower complication profiles based on limited studies.
This may reflect concerns about complications and the ethical principle of non-maleficence.
The lower weight and higher respiratory rate among JE patients may reflect multiple clinical complications, including dehydration.
One possible explanation is that metabolic complications may reflect both the endocrine and excretory functions of the kidneys and may not be sufficient to cause organ dysregulation.
A longer inpatient period may reflect poor health status or complications during the acute treatment of the fracture.
In the present study, complications that may reflect a neuropathic pain state were mentioned and could be investigated further, e.g. complex regional pain syndrome, paralysis of the arm, tight scar tissue, and trapped nerve.
The extremely low rates of immunological and respiratory dysfunction, for example, may reflect the poor recording of such complications, and the incidence of these complications in the hospitals may have been underestimated.
It also is noteworthy that the rates of severe hypoglycemia in both the CGM and control groups in this study were less than half those reported by the Diabetes Control and Complications Trial, which may reflect the benefits of insulin analogs and greater frequency of use of insulin pumps in our population (7, 11).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com