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The scale and severity of the abuses he found shocked him to the core.
The frequency, scale, and severity of humanitarian crises are set to continue rising.
Mr Ruston wrote: "The scale and severity of the practice was horrific.
Even now, a picture of the scale and severity of the problem must be pieced together from disparate reports.
While we must never forget the scale and severity of Hitler's crimes, we will have lost something precious if we start taking him seriously.
Voluntary reporting of patient safety incidents may under-report incidents as well as the scale and severity of them.
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Trauma patients with alcoholic intoxication had different characteristics regarding injury areas, Glasgow Coma Scale score and severity of injury than those who had negative blood alcohol concentration (BAC).
Predictive clinical features included greater baseline scores on the InterSePT scale for suicidal thinking, the Covi Anxiety Scale, the Calgary Depression Scale (CDS), and severity of Parkinsonism.
Secondary outcomes are intensity of musculoskeletal pain (scale 0 10), pain interference with work or sleep (scale 0 10) and severity of depressive symptoms (Patient Health Questionnaire, PHQ-9), inquired via online questionnaires at baseline and 3, 6, 9 and 12 months after recruitment.
Experts said the scale, speed and severity of damage caused by being awake at night was a surprise.
In practice, as revealed in Puerto Rico and Houston for example, the sheer scale, impact and severity of these disasters can paralyze entire cities, states or regions – leaving little choice but to turn to last resorts first.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com