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It is evident that a part of Estonian FDs do not have a copy of the guideline available thus the process of translating diabetes guidelines into practice has occurred by diffusion [ 23] and partial dissemination [ 23].
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On proton MRS with TE 144 ms (c, d), "pseudomalignant" spectrum is observed with an elevated choline peak and reduction of the NAA peak, choline/Cr ratio (3.17), and NAA/Cr ratio (2.55) Open image in new window Fig. 11 A pilocytic astrocytoma extending to the upper cervical spine with dissemination after partial resection.
The partial adherence in the dissemination of program tools and messages, particularly to the volunteers and mothers, highlights the gap between the formal health system and community levels.
Although pseudo-obstruction caused by LSSc was considered as a differential diagnosis, we performed an exploratory laparotomy because the possibility of partial obstruction caused by peritoneal dissemination could not be excluded and the patient failed to improve with conservative measures.
Such data confirm a huge amount of experimental studies in murine systems showing that even partial immune responses can efficiently fight metastatic dissemination but hardly control growing tumours (Nanni et al, 2007).
Escapes of the emerging distinct cellular forms from the communities would result in partial isolation of the lineages, and in dissemination of distinct bacteria and archaea in a variety of habitats.
In the transinfected St. aegypti, all the three different types of Wolbachia, wAlbB, wMelPop-CLA, and wMel, induce significant inhibition of DENV replication and dissemination, resulting in either complete or partial block of virus transmission [ 200– 202].
Low acceptability of "partial efficacy" vaccines may present obstacles to future HIV vaccine dissemination.
In our experience, we have found that the dissemination of guidelines alone was associated with a partial improvement in the compliance to guidelines.
The POTS-II study investigated the difference in efficacy between medication, medication plus 7 CBT-sessions, and medication plus 14 CBT-sessions and concluded that dissemination of full CBT-augmentation for paediatric OCD partial responders of SSRI should be an important public health objective [ 63].
Some of them, such as the emergency message dissemination for vehicular environments (EMDV) protocol [3], achieve remarkable performance by exploiting partial or complete knowledge of the network topology [4].
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