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While 'too big to fail' corporations went into the bail-out emergency room and recovered to break earnings and stock market records, most Americans have been left in ICU with multiple diagnoses of unemployment, underemployment, home losses and foreclosures, low or no savings and retirement accounts, credit denials, and cuts in education and school funding.
Almost all had multiple diagnoses of lumbar spine degenerative disorders in various combinations (Table 1).
If a subject had multiple diagnoses of lung cancer, we used the stage of the first primary diagnosis.
Recorded diagnoses were used to calculate rates of hypoglycaemia, and the study disregarded multiple diagnoses of hypoglycaemia in the notes.
The period of observation was 4.4 years (HTLV-I), 4.3 years (HTLV-II), and 4.4 years (HTLV seronegative), and each participant may have multiple diagnoses of each condition.bUnadjusted.
Proportion of patients with diagnoses of GERD, UACS and CVA (single or multiple diagnoses of cough) were 76%, 48%and19%9% respectively.
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Additionally, the effects of comorbidity or multiple diagnoses on this premature mortality have also not been quantified.
In the real world, individuals often cope with confusing lists of symptoms and receive multiple diagnoses, some of which may change over time.
This underscores the need for careful clinician analysis which considers the possibility of multiple diagnoses in the selection of treatments since misdiagnosis and inappropriate treatment is potentially disastrous; for example, treatment of a major depressive episode in a bipolar I patient with an antidepressant alone could result in a manic episode.
Observing that there are six possible combinations of the short and long versions of the three multiple diagnoses vignettes (excluding combinations of only short versions, or only long versions), we thus arrived at 18 different versions of the questionnaire for the first three vignettes.
We observed a broad range of diagnoses, a high percentage of multiple diagnoses including true co-morbidities, and underutilization of laboratory support.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com