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Both the patients and the experts gave high scores for the value and quality of the letters in terms of the description of the problem, adequacy of recommendations given, and courtesy and respect (mean (±standard deviation) 5.65 ± 0.79 for patients vs. 4.87 ± 0.79 for experts out of maximum score of 6).
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Zalta (1988), Hanson (2006), Nelson and Zalta (2012) and Hanson (2014) contain discussion relevant to what we will later call the problem of adequacy for some of these languages.
Certainly, some proportion of such cases would not have had symptoms or signs at the time of examination that should prompt a competent clinician to prescribe antibiotics; however, very low rates of antibiotic treatment among cases seen by a health worker would suggest a systemic problem with adequacy of care.
Finally, the right to food assessment is not only relevant to countries with acute food insecurity problems; food adequacy concerns, such as unhealthy life-styles that could lead to obesity, and marketing issues (e.g. labelling), are also relevant for developed countries.
The increasing share of variable renewables in European power systems create a downward adequacy problem, which deals with the ability of power systems to cope with periods of excess generation.
Load fluctuation or generation failure also causes a supply adequacy problem in conventional power systems.
Solutions to supply adequacy problem must be based on a wide area grid platform, taking into account multiple time- and spatial-scale coherences of fluctuations among wind plants and with load fluctuations, and dispatching of flexible resources over a wide area grid platform. .
Solutions to supply adequacy problem must be based on a wide area grid platform, taking into account multiple time- and spatial-scale coherences of fluctuations among wind plants and with load fluctuations, and dispatching of flexible resources over a wide area grid platform.
The basic solution to the supply adequacy problem is to increase flexibility in a power system in order to respond to wind fluctuations, based on a wind area grid platform, while the basic solution to operation stability is to optimize response of wind turbines to grid disturbances, based on a local wind plant platform.
The study shows the effectiveness of a community pharmacist intervention in addressing the problem of dosing adequacy of drug treatment in polymedicated elderly patients over 65 years with renal impairment.
No one can pinpoint the exact problems with the electrical system, although there were reports of generators failing and problems with the adequacy of the electric systems.
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