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Feedback revealed difficulties with inter-operability between different electronic systems and restrictive data sharing protocols, which meant that some clinical teams could not access the new form.
Consistently, a careful analysis of responses revealed difficulties with experimental design in five areas: 1) a property of an experimental subject that is variable, 2) manipulation of variables, 3) measurement of outcome, 4) accounting for and measuring variability, and 5) scope of inference of findings.
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Despite high use of the CDSS (84%% of consultations), observations and interviews revealed difficulty with data entry into the CDSS, and structural and practical barriers to its use.
This process, however, often reveals difficulties with the source instrument when adapting the format, instructions, concepts, idiomatic expressions, response scales, or demographic items for use in different languages.
On the other hand, a qualitative study performed in Norway [ 13] revealed difficulties associated with communication of assessments to the SIO, as indicated by this quotation from one of the interviewed physicians: "It's difficult to present it on a dotted line".
The findings of this study reveal difficulties in recognizing fathers with depression during the postnatal period as experienced by Swedish CHC nurses.
Other examples revealed larger difficulties with organizing information.
The interviews revealed clear difficulties with the acceptance of external HIPAA and IRB Research Ethics training certification.
Sampling of additional outgroup species was abandoned after a series of preliminary tests, which revealed major difficulties with the amplification of selected genes (data not shown).
Yet while recognising the distinction between race and indigeneity is a lesson to take from New Zealand, it also reveals the difficulties with a comparative exercise.
Test administration records for these schools were examined but failed to reveal any difficulties with test administration.
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CEO of Professional Science Editing for Scientists @ prosciediting.com