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First, the ranking of challenges may not be generalizable to contexts outside of Canada.
Second, because the panel was made up of clinical bioethicists in Toronto, the ranking of challenges may not be representative of the challenges facing the entire Canadian public.
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The following quote illustrates the perceived referral challenges, which, despite being mentioned frequently in our interviews and FGDs, was given low importance in the ranking of all challenges to suspect TB in children.
The second output of the Delphi study is the ranking of the challenges.
The panel members each responded by email with their list of ranked challenges, along with brief explanations as to why their chosen items were important and challenging.
Although there were variations in the ranking of the top challenges and priorities, the themes were common.
The authors have used the Nominal Group Technique successfully to provide a useful ranking of themes and challenges from the perspectives of patients, professionals and significant others.
England coach Hope Powell said she hoped the plan could help the national team move up from its current world ranking of eighth to challenge the likes of Germany, France and the USA.
In effect, the overall aim was to produce a comprehensive analysis of the interactions between societies and oceans in order to be able to explore and to rank the major challenges of the oceans and the related issues for research, for the next 15 years.
The ninth ranked challenge, finishing closely behind the challenges associated with research, was the challenge of substitute decision making.
Brett was captain of the cross-country team, captain of the nationally ranked academic challenge team, and plays the bass clarinet.
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