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Subsequent data from a large expanded access series reproduced the PFS results (10.9 months; 95% CI: 10.3 11.2 months), with an OS of 18.4 months (95%CI: 17.4 19.2 months) underlining the practise changing nature of these results (Gore et al, 2009).
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The practise of routinely changing catheters according to some defined time period to reduce the risk of CRI is commonly referred to as "scheduled" replacement [ 3, 7].
Clinical practise is constantly changing, whether due to a single signature study or an increasing body of evidence - but are physicians aware of this information, and do they have the tools to allow them to undertake new procedures and protocols?
Real and large scale change is challenged, however, by limited government capacity and commitment to changing practises and to allocating sufficient resources for social work towards child protection.
Forest management also influences growth rates by controlling stand density, and management practises have been changing over recent decades.
For one woman, whose husband was not interested in communicating with her about their infertility, practising at the changing table was also a way to use words and expressions she had never been able to use with her husband or anyone else.
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However, we want to highlight the change in resource requirements when changing from current practise to a meaningful implementation of the new model.
The song seemed simple enough when he first presented it, but it soon became impossibly difficult to learn and they eventually realised that while they were practising it, Barrett kept changing the arrangement.
This means students did not only practise the technical skill of changing the stoma bag, but also needed knowledge on the stoma (e.g. possible problems with stomas), and an appropriate attitude towards the patient.
The point is that meditation, practised properly, can be life changing.
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