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The report acknowledges that the existing entitlements system is piecemeal, incomplete, confusing and lacks transparency, leading to travel that has been "inside entitlement but outside community expectations".
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Australia's policy towards asylum seekers was a "piecemeal and incomplete policy response, aspects of which are driven more by political considerations than any desire to find a sustainable and humane approach".
Yet, currently available quality metrics are frustratingly piecemeal and incomplete, with the benefits of some data-sharing collaborations (eg, the Health Roundtable 35) restricted to member organisations.
In the meantime, he will not comment on a piecemeal basis to incomplete and often factually inaccurate press reports".
Incomplete piecemeal EMR of large, sessile/flat colon polyps results in polyp recurrence, with massive submucosal scarring making subsequent attempts at endoscopic resection problematic.
This data prompted a randomized study for large (>1.5 cm) sessile polyps utilizing APC after incomplete piecemeal or snare resection, also showing a decreased adenomatous recurrence (10% APC versus 63% no APC, P = 0.02) [ 35].
The world would benefit from a transparent, international investigation, rather than piecemeal reports based on incomplete evidence.
This is, in part, because previous validation studies have been conducted in an incomplete and piecemeal manner.
In addition, a study by Kim et al 24 suggests that the risk of incomplete resection in piecemeal resection is significantly higher with lesions >30 mm (n=497, OR=2.688, 95% CI 1.036 to 6.993, p=0.042).
Consensus reached: 92.9% agreement Early follow-up endoscopy after piecemeal resection is advocated owing to potentially high rates of incomplete resection and early lesion recurrence, with histological evaluation often unable to assess for completeness of resection as with en bloc removal.
59 60 Piecemeal removal of malignancy has also been identified as an independent risk factor for incomplete resection by a 2011 Korean study (n=236, OR=3.365, 95% CI 1.295 to 8.744, p=0.013).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com