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A decade ago Flyvbjerg et al. (2003) observed that ESIA was learning only slowly, and shortcomings concerned (a) lack of accuracy in impact prediction, (b) the narrow scope of impacts and their time horizons, and (c) inadequate organization, scheduling and institutional integration of the ESIA process in overall project decision-making.
Yet, to date there is limited systematic work examining the scope of impacts of international security organizations on health sectors.
Ultimately, despite their huge scope of impacts, heat and cold exposures are individual phenomena and thus highly relative, researchers have found from one person, home, neighborhood, city, and region to the next.,,, That simple fact, it turns out, may dictate how researchers and public officials talk about temperature and health as climate change progresses.
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The scope of impact is very unclear, from direct physical impacts (explosion victims), financial impacts (fishermen, tourist industry), short term environmental impacts and long term environmental impacts.
These responses may likely have reflected that the inevitability of the strain's dissemination and scope of impact had not been fully grasped by the public at that point.
This matrix identified two dimensions: the degree of intentionality and the scope of impact.
Two categories of the scope of impact were identified, broader and specific.
The largest group of the papers categorised as important in the focused review were those in which the level of engagement considered was organisational and the scope of impact discussed was broad.
The decision for CHWs to undertake a preventive/promotive health package and not treat neonatal sepsis makes sense in this context, but perhaps limits the scope of impact of these workers.
Considering a large number of patients requiring ICU level of care, the scope of impact of CMV infection in these patients may be equally or potentially wider than in other immunocompromised hosts traditionally recognized to be at risk for CMV infection.
We lack essential information in several key area's (summarized in Table 3) that need to be addressed to fully understand the scope of impact on public health and the clinical implications posed by the occurrence of extra-genital STI in women but also in MSM.> Future studies should address extra-genital and genital morbidity caused by extra-genital infections.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com