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Here, a nurse-coordinator encouraged more active diagnosis, treatment and direct referral for renal imaging, with paediatricians becoming involved only in abnormal cases.
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The cardiologists correctly identified only 68 percent of truly abnormal cases — 32 percent of teenagers with abnormal EKGs were never detected.
This is highlighted in Fig. 3, where two clinically abnormal cases that were only classified as quantitatively abnormal using this methodology, although statistically this method wasn't significantly better than many of the alternative techniques.
An OGTT is recommended only in the case of an abnormal result (21).
Other studies are limited to the screening between weeks 26 and 28 of gestation with a 50-g oral glucose challenge test and, only in case of an abnormal response, an OGTT performed following, alternatively, World Health Organization or National Diabetes Data Group criteria.
Essential only in certain cases.
At present, only abnormal MYCN gene status is believed to correlate with worse outcome in these patients, and postoperative treatment is therefore deemed necessary only in such cases (Rubie et al, 1997).
Consider plastic surgery only in extreme cases.
Only in cases when very few wild type cells are available to form a retina, the differentiation of the optic cup is abnormal.
The unfortunate thing is that it is the abnormal cases like this (which are often the only things that allow a legal aid practice to survive the otherwise dreadful legal aid rates), and the abnormal earnings of barristers with huge experience dealing with the most serious cases and working insane hours, that get reported.
In this situation, prognostic knowledge can only be deepened by large-scale multicentric studies with a high enough number of abnormal cases with follow-up data.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com