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The response to the problem of poor quality context specific economic evaluations has been the arrival of the generalized cost-effectiveness analysis (CEA) [ 56].
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Research and industry have previously reported the severe harm caused by the presence of poor quality data in many contexts [4 7], with the Gartner Group highlighting bad data as the main cause of failure in CRM systems [8].
Nursing homes are becoming increasingly complex clinical environments because of rising resident acuity and expansion of postacute services within a context of historically poor quality performance.
The availability of data in the Spanish context is restricted by the poor quality of socioeconomic information registered in death certificates, and by a restrictive legislation [ 52- 54].
In this context, several studies have demonstrated the poor quality of allergen extracts which may lack important allergens and show unpredictable compositions [ 6 8,9 ].
Therefore, in the clinical context, the only human primary hepatocytes available are poor quality allogeneic cells derived from livers unsuitable for organ transplantation.
However, the study results highlight the context in which handover processes may be related to poor quality of care and subsequent adverse obstetric outcomes.
Although differences in quality grading between experienced reviewers were minimal, the background of the reviewer or the context of the review may influence the grading system in detecting poor quality tests.
Technically poor quality delivery care has been reported by several studies from other high maternal mortality contexts (17– 17).
The indicators should be considered in the context of other evidence relevant to care quality and explanations for the apparent existence of poor quality, according to the indicator, should be sought and carefully explored.
Our observations are consistent with a broad epigenetic abnormality of poor quality human sperm in which levels of DNA methylation are elevated at numerous sequences in several genomic contexts.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com