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A third model blends features of the other two, relying on the ICU team to meet basic palliative care needs of patients and families while engaging specialists for more complex or refractory problems [114].
However, refractory problems reported in earlier studies [ 11, 46] still existed in 2006-08.
Lupus anticoagulant, infection and malignancy add further to intrinsic risks and patients may develop refractory problems with thrombosis, cellulitis and soft tissue infections.
Our approach overcomes many of the refractory problems in foraminiferal genomics and provides vital data for further studies of the foraminiferal genome.
The studies revealed that early and refractory problems at the national level - including coordination structure proliferation, lack of ownership and capacity, and poor communication - were being replicated at subnational levels.
A third model blends features of the other two, relying on the ICU team to meet basic palliative care needs of patients and families while engaging specialists for more complex or refractory problems [ 114].
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The maxillary sinus is a chronic refractory problem area in CF patients because the normal MCC pathway is through the natural ostium and against gravity.
In one instance, progress has also been made on the refractory problem of reducing Pgp transport responsible for resistance with a series of C20′ amine derivatives uniquely accessible using the newly developed methodology.
In one instance, remarkable progress has also been made on the refractory problem of reducing Pgp transport responsible for clinical resistance with a series of derivatives made accessible only using the newly developed synthetic methodology.
Patients with chronic or refractory gastrointestinal problems, such as functional gastrointestinal disorders (FGIDs) and inflammatory bowel disease (IBD) tend to use herbal products most frequently [ 5, 8].
While our findings cannot tackle the efficacy-safety trade off involved in the decision to proceed with drug treatment for severe and refractory behavioural problems in people with dementia, they can contribute to decision making regarding treatment for clinicians considering use of antipsychotics in patients whose behavioural problems might themselves pose a risk to the patient or others.
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