There were methodological problems inherent in both of the studies; not least the lack of gold standard comparison and therefore no sense of the extent of misclassification by either system, neither of which involved purposeful patient examination post-discharge.
To get an accurate diagnosis, a profound theoretical knowledge as well as a precise clinical examination and a purposeful imaging is required, to initiate an adequate therapy.
The beacon of responsibility is the purposeful orientation of actions, as well as the prudent examination of their consequences.
A diagnosis is made after repeated examinations have yielded no evidence of sustained, reproducible, purposeful, or voluntary behavioral response to visual, auditory, tactile, or painful stimuli [ 16].
An immediate neurological examination showed that he used his left arm in a semi-purposeful manner, but was otherwise unresponsive - he had deep tendon reflexes all around, and did not withdraw from painful stimuli.
Upon initial examination at the NIH Clinical Center at 6.5 years of age, the patient did not visually track or exhibit any purposeful interaction with his environment.
"And that is purposeful".
"Back-shoulder throws, purposeful underthrows.
